Provider Demographics
NPI:1992321186
Name:MAGNA HOSPICE SERVICES, INC.
Entity type:Organization
Organization Name:MAGNA HOSPICE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:SUPNET
Authorized Official - Last Name:IGNACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-966-4311
Mailing Address - Street 1:500 E CARSON PLAZA DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-7324
Mailing Address - Country:US
Mailing Address - Phone:818-966-4311
Mailing Address - Fax:
Practice Address - Street 1:500 E CARSON PLAZA DR STE 206
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-7324
Practice Address - Country:US
Practice Address - Phone:818-966-4311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based