Organization
EZE OPTIMAL HEALTH COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMADRA EMBRY (CEO)
(323) 573-8607
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE STE 210A, LOS ANGELES, CA 90047-3063
(323) 417-0637
Mailing address
1704 W MANCHESTER AVE STE 210A, LOS ANGELES, CA 90047-3063
(323) 417-0637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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