Provider Demographics
NPI:1871944926
Name:MISSION HOSPICE SERVICES OF ONTARIO, INC.
Entity type:Organization
Organization Name:MISSION HOSPICE SERVICES OF ONTARIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARALEGAL
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGDAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-757-2700
Mailing Address - Street 1:2385 NORTHSIDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2727
Mailing Address - Country:US
Mailing Address - Phone:619-757-2700
Mailing Address - Fax:888-309-2638
Practice Address - Street 1:901 VIA PIEMONTE
Practice Address - Street 2:SUITE 120
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-6596
Practice Address - Country:US
Practice Address - Phone:888-871-0766
Practice Address - Fax:866-551-0846
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSION HEALTHCARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based