| NPI | 1235291972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJARE ADEMEFUN Owner 310-672-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103454) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |