- Enrollment id
- O20201218000154
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1346844305
- Multiple npi flag
- N
- Ccn
- B31690
- Associate id
- 8426460346
- Organization name
- GAMMA HOSPICE CARE INC
- Incorporation date
- 2020-11-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3111 LOS FELIZ BLVD
- Address line 2
- STE 108
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391599