| NPI | 1326433939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA S. WONG Owner 626-858-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 036303) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |