Individual ProviderEmmanuel Orozco SantanaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(626) 589-6042PECOS EnrollmentBased on the most recent information from CMS, provider Emmanuel Orozco Santana is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1760280192Provider TypeIndividualFull NameOrozco Santana, EmmanuelCredentialNPGenderMaleSole ProprietorNoEnumeration Date3/3/2025Last Updated6/2/2025Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(626) 589-6042FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95030484CaliforniaCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95030484California