OrganizationSan Diego Hospice And Palliative CareGeneral Acute Care HospitalHospitalsPractice Address4311 3rd Ave, San Diego, CA 92103-1407(619) 688-1600PECOS EnrollmentBased on the most recent information from CMS, provider San Diego Hospice And Palliative Care does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1336332444Provider TypeOrganizationFull NameSan Diego Hospice And Palliative CareSubpartNoEnumeration Date8/22/2007Last Updated8/22/2007Contact InformationPractice LocationPractice Address4311 3rd Ave, San Diego, CA 92103-1407Phone(619) 688-1600FaxUnlisted FaxMailing LocationMailing Address4311 3rd Ave, San Diego, CA 92103-1407Phone(619) 688-1600FaxUnlisted FaxAuthorized OfficialNameChetti, Jan (President/Ceo)Phone(619) 688-1600Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerCaliforniaProvider IdentifiersIDDescriptionIssuerIDHSP30698FDescriptionMedicaidIssuerUnlistedCalifornia