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General NPI Number Information
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NPI Number | 1649404963
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Entity Type | Organization
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Legal Business Name | METRO HEALTHCARE MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 4515 EAGLE ROCK BLVD. STE 111-C
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City | LOS ANGELES
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State | CA
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Zip | 90041
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Country | US
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Telephone | 323-275-8854
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Fax | 323-254-5584
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Provider Business Mailing Address
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Address Line | 3816 YORK BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90065
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Country | US
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Telephone | 323-275-8854
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Fax | 323-254-5584
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Authorized Official
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Title or Position | PRESIDENT/PARTNER
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Name | MISS EVA FE GREEN
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Credential |
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Telephone | 323-275-8854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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