MEDICARE: EMBRACE MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1871435586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACE MEDICAL, LLC

Provider Business Mailing Address
First Line	:	27349 JEFFERSON AVE STE 101
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92590-5611
Country	:	US
Telephone Number	:	951-233-1624
Fax Number	:

Provider Business Practice Location Address
First Line	:	27349 JEFFERSON AVE STE 101
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92590-5611
Country	:	US
Telephone Number	:	951-233-1624
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JENNIFER BOATMAN
Credential	:
Telephone Number	:	951-852-6147

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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