| NPI | 1205834322 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | FAKHRI FAITH SOLTANI General Manager 562-904-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 100453) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-12-21 |