| NPI | 1245389162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE HYUN KIM Owner 562-404-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 4888350001) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |