| NPI | 1285044214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIN JAVID Partner 661-259-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA BJ4618709) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA LJ4608709) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2016-12-02 |