| NPI | 1336320639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIA GORELISHVILI Owner 818-446-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5724590001) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-06-24 |