# METRO HEALTHCARE MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649404963
- **Authorized official:** MISS EVA FE GREEN (PRESIDENT/PARTNER)
- **Authorized official phone:** (323) 275-8854

## Contact information

- **Practice address:** 4515 EAGLE ROCK BLVD., STE 111-C, LOS ANGELES, CA 90041
- **Practice address phone:** (323) 275-8854
- **Practice address fax:** (323) 254-5584
- **Mailing address:** 3816 YORK BLVD., LOS ANGELES, CA 90065
- **Mailing address phone:** (323) 275-8854
- **Mailing address fax:** (323) 254-5584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 05/14/2009
- **Last updated:** 05/14/2009