| NPI | 1326410457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC H FRIEDMAN Manager 562-842-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 261QH0100X) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA C35999) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-07-28 |