Provider Demographics
NPI:1699084970
Name:WEST COAST HOSPICE MANAGEMENT INC.
Entity type:Organization
Organization Name:WEST COAST HOSPICE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GYULBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-781-1888
Mailing Address - Street 1:13746 VICTORY BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6716
Mailing Address - Country:US
Mailing Address - Phone:818-781-1888
Mailing Address - Fax:818-781-1881
Practice Address - Street 1:13746 VICTORY BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6716
Practice Address - Country:US
Practice Address - Phone:818-781-1888
Practice Address - Fax:818-781-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based