| NPI | 1386636322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JONES ALEXANDER Owner 310-674-9179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-09-11 |