| NPI | 1073562120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZA MOROZOV Officer 323-874-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME02278G) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |