Emmanuel Medical Supply & Equipment Provider

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EMMANUEL MEDICAL SUPPLY & EQUIPMENT PROVIDER

Practice address

5107 S Vermont Ave
Los Angeles, CA 90037-3515

Phone

(323) 971-6270

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Duarte

Title

Partner

Phone

(323) 327-8260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114014453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 ORCHARD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373515",
            "telephone_number": "323-971-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL SUPPLY & EQUIPMENT PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "323-327-8260"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christos Emmanouel Emmanouilides, MD
• Evdoxia Emmanouilidou
• Emmanuel Mojtahedian, M.D., Inc.
• Vida Emmanuel
• Dana Lynn Emmer, MSW
• Jane Meryl Emmer, PSYCHOLOGIST
• Emmons Student Wellness Center

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.