Eagle Universal LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EAGLE UNIVERSAL LLC

Practice address

88 W 9TH St Apt 9
Upland, CA 91786-5903

Phone

(909) 982-9567

NPI assigned

Jul 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Osawaru Osakue

Title

Manager

Phone

(909) 982-9567

Specialties & licenses 1

Addresses

Other names 1

• Eagle Universal Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1043410004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 W 9TH ST APT 9",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865903",
            "telephone_number": "909-982-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W 9TH ST APT 9",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865903",
            "telephone_number": "909-982-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE UNIVERSAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "OSAKUE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "OSAWARU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-982-9567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Universal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Upland, CA
• Providers in Upland, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.