| NPI | 1063634707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M CASTILLO Authorizations COO Rdinator 310-372-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |