| NPI | 1316905565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T DUFFY Owner 818-352-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 17924) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103734) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-11 |