Provider Demographics
NPI:1699173310
Name:LOMA LINDA HOSPICE CARE, INC.
Entity type:Organization
Organization Name:LOMA LINDA HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-882-1135
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 302
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1975
Mailing Address - Country:US
Mailing Address - Phone:714-882-1135
Mailing Address - Fax:714-882-1137
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 302
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1975
Practice Address - Country:US
Practice Address - Phone:714-882-1135
Practice Address - Fax:714-882-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based