COASTAL HOSPICE OF SOCAL INC


Address: 12465 Lewis St Ste 206, Garden Grove, CA 92840-4657
Phone: 9513103338

COASTAL HOSPICE OF SOCAL INC (NPI# 1821636549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821636549
Entity Type Organization
Organization Name COASTAL HOSPICE OF SOCAL INC
Practice Address 12465 Lewis St Ste 206
Garden Grove
CA 92840-4657
Practice Telephone 9513103338
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Authorized Official Name JOHN PATRICK SIMBULAN (OWNER/ADMINISTRATOR)
Authorized Official Telephone 3103103338
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 1417332057 05

Office Location

Street Address 12465 LEWIS ST STE 206
City GARDEN GROVE
State CA
Zip Code 92840-4657

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588283808 Kimberly Gaeta Behavioral Analyst 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 2020-04-16
1396397170 Rosa Cortez Behavior Technician 12443 Lewis Street, #201, Garden Grove, CA 92840 2019-07-12
1376005934 Sekboppa Sor Nurse Practitioner An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 2019-04-03
1346730116 Vinh Le Tran Pharmacist 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 2018-05-16
1841715232 Scott R. Blair Physician Assistant 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 2017-08-07
1881049492 Carmen Keally Dietitian, Registered 12602 9th St, Garden Grove, CA 92840 2016-05-02
1548688732 House Call Medical Associates, Inc. Internal Medicine 12865 Main St Ste 105, Garden Grove, CA 92840 2014-04-03
1851733059 Carly Ann Wade Marriage & Family Therapist 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 2013-07-29
1003159864 Priyal Shah Ohri Dentist 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 2013-03-30
1770853244 Joseph Pham Pharmacist 12001 Euclid St., Garden Grove, CA 92840 2011-12-30
Find all providers in zip 92840

Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578110391 Happy Hospice, Inc Hospice Care, Community Based 12755 Brookhurst St Ste 108, Garden Grove, CA 92840-4855 2019-08-26
1205355682 Azure Hospice Care Inc Hospice Care, Community Based 12391 Lewis St Ste 202, Garden Grove, CA 92840-4668 2017-09-16
1366817033 Unified Hospice Care, LLC Hospice Care, Community Based 7077 Orangewood Ave Ste 120, Garden Grove, CA 92841-1439 2015-12-07
1316358880 Serendipite Healthcare Group Hospice Care, Community Based 12377 Lewis Street Suite 103, Garden Grove, CA 92840-4672 2014-05-18
1033529763 Acceptance Hospice, Inc. Hospice Care, Community Based 7077 Orangewood Ave Ste 128, Garden Grove, CA 92841-1439 2014-05-02
1205180247 Hospice of The West, Inc. Hospice Care, Community Based 7461 Garden Grove Blvd Ste B, Garden Grove, CA 92841-4227 2012-10-29
1639345010 Autumn Hospice, Inc. Hospice Care, Community Based 12062 Valley View St Ste 216, Garden Grove, CA 92845-1739 2008-05-05
1124145099 Comfort Hospice Care, Inc. Hospice Care, Community Based 12900 Garden Grove Blvd., Suite 130, Garden Grove, CA 92843 2007-03-23
1902944929 Regency Hospice Inc Hospice Care, Community Based 12062 Valley View Street #125, Garden Grove, CA 92845 2007-02-02
1609960897 Daian Corporation Hospice Care, Community Based 10507 Garden Grove Blvd # F, Garden Grove, CA 92843-1128 2006-10-03
Find all providers in GARDEN GROVE

Competitor

Search similar providers

City GARDEN GROVE
Zip Code 92840

Improve Information

Please comment or provide details below to improve the information on COASTAL HOSPICE OF SOCAL INC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches