MEDICARE: COLTS CARRIERS 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	:	1205762770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLTS CARRIERS LLC

Provider Business Mailing Address
First Line	:	600 S CURSON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3666
Country	:	US
Telephone Number	:	313-913-2871
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S CURSON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3666
Country	:	US
Telephone Number	:	313-913-2871
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JASON WILL
Credential	:
Telephone Number	:	313-913-2871

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “COLTS CARRIERS LLC ” Practice Location

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