Organization
NATIONAL TRACER SERVICE & ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL PETER EYO (OWNER)
(323) 294-6941
Entity
Organization
Contact information
Practice address
4025 MARLTON AVE, LOS ANGELES, CA 90008
(323) 294-6941
(323) 294-6942
Mailing address
PO BOX 431361, LOS ANGELES, CA 90043-9361
(323) 294-6941
(323) 294-6942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4601120001
PROVIDER NUMBER
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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