| NPI | 1013226414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY WILLIAMS Director 323-770-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 000247296600011) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2010-10-02 |