Provider Demographics
NPI:1851992325
Name:PALLIATIVE TENDER CARE, INC.
Entity Type:Organization
Organization Name:PALLIATIVE TENDER CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-572-3495
Mailing Address - Street 1:8400 MIRAMAR RD STE 214A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6330
Mailing Address - Country:US
Mailing Address - Phone:818-572-3495
Mailing Address - Fax:
Practice Address - Street 1:8400 MIRAMAR RD STE 214A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6330
Practice Address - Country:US
Practice Address - Phone:818-572-3495
Practice Address - Fax:818-465-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based