| NPI | 1205649654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MOHA Managing Member 310-490-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |