Provider Demographics
NPI:1790379824
Name:WEST COAST PALLIATIVE CARE, INC
Entity Type:Organization
Organization Name:WEST COAST PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-282-6193
Mailing Address - Street 1:7055 VINELAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6414
Mailing Address - Country:US
Mailing Address - Phone:818-282-6193
Mailing Address - Fax:323-544-6902
Practice Address - Street 1:7055 VINELAND AVE STE A
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6414
Practice Address - Country:US
Practice Address - Phone:818-282-6193
Practice Address - Fax:323-544-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based