Provider Demographics
NPI:1942875562
Name:HONESTA HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:HONESTA HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-617-0599
Mailing Address - Street 1:1106 MABURY ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4465
Mailing Address - Country:US
Mailing Address - Phone:714-617-0599
Mailing Address - Fax:
Practice Address - Street 1:14081 YORBA ST STE 236
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2000
Practice Address - Country:US
Practice Address - Phone:714-442-3774
Practice Address - Fax:714-442-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based