| NPI | 1275351611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JACOBS Office Manager 323-577-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |