Provider Demographics
NPI:1184453961
Name:SB PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:SB PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-201-6524
Mailing Address - Street 1:11990 SAN VICENTE BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-6615
Mailing Address - Country:US
Mailing Address - Phone:818-201-6524
Mailing Address - Fax:
Practice Address - Street 1:11990 SAN VICENTE BLVD STE 225
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-6615
Practice Address - Country:US
Practice Address - Phone:818-201-6524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONCLICK HEALTHCARE INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty