Provider Demographics
NPI:1881900710
Name:GMC PROFESSIONAL HOSPICE CARE, INC.
Entity type:Organization
Organization Name:GMC PROFESSIONAL HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON ALAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-770-4402
Mailing Address - Street 1:401 S MAIN STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-1638
Mailing Address - Country:US
Mailing Address - Phone:909-469-2888
Mailing Address - Fax:909-469-1777
Practice Address - Street 1:401 S MAIN STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-1638
Practice Address - Country:US
Practice Address - Phone:909-469-2888
Practice Address - Fax:909-469-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based