| NPI | 1215484720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMERON IBRAHIM President 619-694-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 2016010806) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |