| NPI | 1083922777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHE S LEE President 818-550-9910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA A67707) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G86203) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |