| NPI | 1053738674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIJAZ AHMAD MATHU Owner 562-945-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA CP003349) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-26 |