Organization
EVERGREEN INTERNATIONAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENQ HORNG CHEN (CHAIRMAN)
(310) 889-9929
Entity
Organization
Contact information
Practice address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
(310) 889-9929
(310) 889-9939
Mailing address
1937 PONTIUS AVE, LOS ANGELES, CA 90025-5611
(310) 889-9929
(310) 889-9939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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