| NPI | 1134063878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOUSH SAFARI MAHFROUJAKI Owner 623-698-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-06-10 |