| NPI | 1013249234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN L. PALM-LEIS Member 626-440-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-13 |
| Last Update Date | 2011-11-14 |