Organization Active NPI

Metro Healthcare Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1649404963
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
METRO HEALTHCARE MEDICAL SUPPLY, LLC
Practice address
4515 Eagle Rock Blvd.
Ste 111-C
Los Angeles, CA 90041
Phone
(323) 275-8854
Fax
(323) 254-5584
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Miss Eva Fe Green
Title
President/Partner
Phone
(323) 275-8854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

4515 Eagle Rock Blvd.
Ste 111-C
Los Angeles, CA 90041

Mailing address

3816 York Blvd.
Los Angeles, CA 90065
Phone (323) 275-8854

National Provider Directory

National Provider Directory

Locations

4515 Eagle Rock Blvd
Ste 111C
Los Angeles, CA 90041
Phone (323) 275-8854

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1649404963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 YORK BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90065",
            "telephone_number": "323-275-8854",
            "fax_number": "323-254-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 EAGLE ROCK BLVD.",
            "address_2": "STE 111-C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-275-8854",
            "fax_number": "323-254-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTHCARE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EVA FE",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "323-275-8854",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.