| NPI | 1376052274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Authorized Official 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-06-16 |