| NPI | 1255121125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELITA OGANESYAN Manager 818-307-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-30 |