Provider Demographics
NPI:1811318975
Name:COMFORT CHOICE HOSPICE
Entity type:Organization
Organization Name:COMFORT CHOICE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-807-4200
Mailing Address - Street 1:6222 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5123
Mailing Address - Country:US
Mailing Address - Phone:323-807-4200
Mailing Address - Fax:888-390-7419
Practice Address - Street 1:6222 WILSHIRE BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5123
Practice Address - Country:US
Practice Address - Phone:323-807-4200
Practice Address - Fax:888-390-7419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based