Organization
EZE ELITAIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMADRA MONIQUE EMBRY (FOUNDER)
(424) 444-8598
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE STE 210A, LOS ANGELES, CA 90047-3063
(310) 923-9553
Mailing address
1704 W MANCHESTER AVE STE 210A, LOS ANGELES, CA 90047-3063
(310) 923-9553
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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