Emmanuel Medical Supply & Equipment Provider
Durable Medical Equipment & Medical Supplies in Los Angeles, CA. Organization (NPI-2).
NPI number1114014453
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114014453
- Entity type
- Organization (NPI-2)
- Legal business name
- Emmanuel Medical Supply & Equipment Provider
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
5107 S Vermont AveLos Angeles, CA 90037-3515
Phone 323-971-6270
Mailing address
4415 Orchard AveLos Angeles, CA 90037-3017
Authorized official
Leslie Duarte
Partner
3233278260
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