MEDICARE: GLOBAL TREK XPLORATION

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	333300000X	Emergency Response System Companies
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1447709290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL TREK XPLORATION

Provider Business Mailing Address
First Line	:	117 W 9TH ST
Second Line	:	SUITE 1214
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-1509
Country	:	US
Telephone Number	:	213-489-3019
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 W 9TH ST
Second Line	:	SUITE 1214
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-1509
Country	:	US
Telephone Number	:	213-489-3019
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF OPERATIONS
Name	:	LOUIS ROSENBAUM
Credential	:
Telephone Number	:	415-999-3321

Provider Enumeration Date	:	09/21/2016
Last Update Date	:	02/07/2017

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Directions to “GLOBAL TREK XPLORATION ” Practice Location

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