Provider Demographics
NPI:1871170613
Name:D&M HOSPICE CARE
Entity type:Organization
Organization Name:D&M HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-784-7178
Mailing Address - Street 1:901 W CIVIC CENTER DR STE 200AV
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-2352
Mailing Address - Country:US
Mailing Address - Phone:213-784-7178
Mailing Address - Fax:
Practice Address - Street 1:901 W CIVIC CENTER DR STE 200AV
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-2352
Practice Address - Country:US
Practice Address - Phone:213-784-7178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based