| NPI | 1205273711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS SEDGHI President 310-722-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |