Provider Demographics
NPI:1962059857
Name:ALPHA PLUS HOSPICE
Entity type:Organization
Organization Name:ALPHA PLUS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LALA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYANDURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-433-4405
Mailing Address - Street 1:1102 SAN FERNANDO RD STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-3299
Mailing Address - Country:US
Mailing Address - Phone:818-433-4405
Mailing Address - Fax:424-523-4811
Practice Address - Street 1:1102 SAN FERNANDO RD STE 205
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-3299
Practice Address - Country:US
Practice Address - Phone:818-433-4405
Practice Address - Fax:424-523-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-24
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based