Eze Optimal Health Collective LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EZE OPTIMAL HEALTH COLLECTIVE LLC

Practice address

1704 W Manchester Ave Ste 210a
Los Angeles, CA 90047-3063

Phone

(323) 417-0637

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Samadra Embry

Title

Ceo

Phone

(323) 573-8607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1417804477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 210A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473063",
            "telephone_number": "323-417-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 210A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473063",
            "telephone_number": "323-417-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZE OPTIMAL HEALTH COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "SAMADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-573-8607"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.