| NPI | 1295898534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE M DEREK CEO 626-286-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101237) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |