Organization
CARLOS DIZON
Active
Organization
CARLOS DIZON
Active
Other names
Emerson Nutritional Corp
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DIZON (CEO)
(310) 266-1408
Entity
Organization
Contact information
Practice address
8940 WOODMAN AVE # D1, ARLETA, CA 91331-6445
(310) 266-1408
Mailing address
8940 WOODMAN AVE, ARLETA, CA 91331-6445
(310) 266-1408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
07/02/2020
Last updated
08/21/2020
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