| NPI | 1356592505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAY VYTURIN Owner 951-488-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 332B00000X) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |