Provider Demographics
NPI:1548843196
Name:S & A HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:S & A HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SARGIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AYVAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-777-2752
Mailing Address - Street 1:18340 VENTURA BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4290
Mailing Address - Country:US
Mailing Address - Phone:747-777-2752
Mailing Address - Fax:
Practice Address - Street 1:18340 VENTURA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4290
Practice Address - Country:US
Practice Address - Phone:747-777-2752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based