| NPI | 1205070729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY IVANOV CEO 909-383-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 51274) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-05-21 |