| NPI | 1295753119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENRIETA ALEXANDREA LANGE Owner/ Managing Employee 310-417-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44657) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |