Provider Demographics
NPI:1326480617
Name:METRO MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:METRO MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH LAWRENCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:TANLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-546-8662
Mailing Address - Street 1:9504 TOPANGA CANYON BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-4011
Mailing Address - Country:US
Mailing Address - Phone:818-280-3249
Mailing Address - Fax:818-280-5408
Practice Address - Street 1:9504 TOPANGA CANYON BLVD
Practice Address - Street 2:STE A
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-4011
Practice Address - Country:US
Practice Address - Phone:818-280-3249
Practice Address - Fax:818-280-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1326480617Medicaid