| NPI | 1174440036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN GONZALEZ Director 213-734-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |