| NPI | 1356803027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE NICOLE LOVELL-MOORE Director O Operations 310-936-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |