Provider Demographics
NPI:1992359129
Name:ARC ANGEL HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:ARC ANGEL HOSPICE & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODULFO
Authorized Official - Middle Name:
Authorized Official - Last Name:OCMEJA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-714-7908
Mailing Address - Street 1:10568 MAGNOLIA AVE STE 127
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-5899
Mailing Address - Country:US
Mailing Address - Phone:714-714-7908
Mailing Address - Fax:657-210-6232
Practice Address - Street 1:10568 MAGNOLIA AVE STE 127
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5899
Practice Address - Country:US
Practice Address - Phone:714-714-7908
Practice Address - Fax:657-210-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based