| NPI | 1326285735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MIGUELEZ Owner 310-372-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IA 107035980) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2012-10-23 |