| NPI | 1033381637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN O OSIOH Owner 323-752-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2010-12-15 |