Provider Demographics
NPI:1992309819
Name:OAK HOSPICE AND PALLIATIVE CARE, INC
Entity type:Organization
Organization Name:OAK HOSPICE AND PALLIATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SANASAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-303-9909
Mailing Address - Street 1:19634 VENTURA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2966
Mailing Address - Country:US
Mailing Address - Phone:818-303-9909
Mailing Address - Fax:818-304-7050
Practice Address - Street 1:19634 VENTURA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2966
Practice Address - Country:US
Practice Address - Phone:818-303-9909
Practice Address - Fax:818-304-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based