| NPI | 1073578514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE AYOOLA OYETIBO Officer 626-962-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 49380) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2009-02-05 |