| NPI | 1073066858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH KOHAN CEO 310-505-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |