| NPI | 1083158281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MAHTABAN Part Owner 310-666-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |