NPI | 1043336084 |
---|---|
Former Legal Business Name | PROTOTYPES OBHS PASADENA |
Entity Type | Organization |
Authorized Contact | VITKA EISEN President And CEO 213-542-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-03-21 |
Last Update Date | 2019-07-19 |