| NPI | 1093691701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANTZ PAUL Director 323-200-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2026-01-08 |