Healthcare Provider Details

I. General information

NPI: 1447709290
Provider Name (Legal Business Name): GLOBAL TREK XPLORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W 9TH ST SUITE 1214
LOS ANGELES CA
90015-1509
US

IV. Provider business mailing address

117 W 9TH ST SUITE 1214
LOS ANGELES CA
90015-1509
US

V. Phone/Fax

Practice location:
  • Phone: 213-489-3019
  • Fax:
Mailing address:
  • Phone: 213-489-3019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: LOUIS ROSENBAUM
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 415-999-3321