| NPI | 1023164878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN K SUGAHARA President 310-465-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-03-29 |