1083011068 NPI number — SOUTHERN CALIFORNIA HOSPICE AND PALLATIVE CARE PROVIDERS, INC.

Table of content: DR. SEVAG ARSEN BEDIKIAN D.C. (NPI 1255338448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083011068 NPI number — SOUTHERN CALIFORNIA HOSPICE AND PALLATIVE CARE PROVIDERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN CALIFORNIA HOSPICE AND PALLATIVE CARE PROVIDERS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083011068
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5787 LITTLE SHAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FONTANA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92336-4593
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-945-9899
Provider Business Mailing Address Fax Number:
909-945-9799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9565 BUSINESS CENTER DR
Provider Second Line Business Practice Location Address:
SUITE 11- F
Provider Business Practice Location Address City Name:
RANCHO CUCAMONGA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91730-4560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-945-9899
Provider Business Practice Location Address Fax Number:
909-945-9799
Provider Enumeration Date:
11/19/2014

Additional Information

Authorized Official

Authorized Official Last Name:
CHUA
Authorized Official First Name:
MARIA CATHERINE
Authorized Official Middle Name:
KOH
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
909-904-7003

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com