NPI | 1104440981 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER OTIKO President 818-836-2475 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-06-08 |
Last Update Date | 2023-02-16 |