| NPI | 1255741468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WATT KURATA Owner 310-801-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA OPT7676TPG) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA OPT7676TPG) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2015-09-27 |