| NPI | 1013267863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ROSS Director 818-303-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-06-07 |