CCN: 921541 NPI: 1861812935 Organization

Charter Hospice of the San Gabriel Valley, LLC

12235 BEACH BLVD , SUITE 200-B
STANTON, CA 906803939

Contact Information

Phone 7143326052
Fax 7143326038
Enumeration Date 2014-04-16
Last Updated 2021-01-14

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 42044

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42044

providerType 35

specialPaymentIndicator

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 42044

providerType 35

specialPaymentIndicator

carrierCode 01182

localityCode 26

cbsaActualGeographicLocation 42044

providerType 35

specialPaymentIndicator

carrierCode 01182

localityCode 26