| NPI | 1023410412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAVID BAMONTE Owner 310-347-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 1083937122) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |