| NPI | 1205851086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A MARTINEZ President 818-566-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44410) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |