| NPI | 1093858086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FENTAHUN B FEREDE President 323-734-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46702) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-16 |