Provider Demographics
NPI:1922358936
Name:PINNACLE HOSPICE INC
Entity Type:Organization
Organization Name:PINNACLE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-363-3444
Mailing Address - Street 1:556 N DIAMOND BAR BLVD
Mailing Address - Street 2:SUITE104
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1000
Mailing Address - Country:US
Mailing Address - Phone:626-363-3444
Mailing Address - Fax:626-898-3687
Practice Address - Street 1:556 N DIAMOND BAR BLVD
Practice Address - Street 2:SUITE104
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1000
Practice Address - Country:US
Practice Address - Phone:626-363-3444
Practice Address - Fax:626-898-3687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based