Healthcare Provider Details

I. General information

NPI: 1336064575
Provider Name (Legal Business Name): VERUPATH LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 S GRAND AVE STE 2450
LOS ANGELES CA
90071-9500
US

IV. Provider business mailing address

355 S GRAND AVE STE 2450
LOS ANGELES CA
90071-9500
US

V. Phone/Fax

Practice location:
  • Phone: 213-845-8378
  • Fax:
Mailing address:
  • Phone: 213-845-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MS. VIANEY OJEDA
Title or Position: MANAGER
Credential:
Phone: 213-845-8378