| NPI | 1043640402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER POBEREJSKY Managing Director 323-651-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56659) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |