| NPI | 1205976438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIKOUHI HEIDI KAVOUKJIAN Vice President 323-666-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-10-29 |