Provider Demographics
NPI:1700472149
Name:ARTEMIS HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:ARTEMIS HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-647-1179
Mailing Address - Street 1:15130 VENTURA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3372
Mailing Address - Country:US
Mailing Address - Phone:818-647-1179
Mailing Address - Fax:
Practice Address - Street 1:15130 VENTURA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3372
Practice Address - Country:US
Practice Address - Phone:818-647-1179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based