| NPI | 1144378142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY DIETER ANDERS Owner 323-461-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-02-11 |