Provider Demographics
NPI:1245813278
Name:YUANA HOSPICE,INC.
Entity type:Organization
Organization Name:YUANA HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEILI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAJOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-339-3396
Mailing Address - Street 1:225 E BROADWAY STE 103G
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:225 E BROADWAY STE 103G
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1008
Practice Address - Country:US
Practice Address - Phone:424-339-3396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based