| NPI | 1114479706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LIBER MOSQUERA CASTRO Licensed Prosthetist 562-373-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PRO 174) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |