| NPI | 1407043532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VADIM MIRETSKY Owner 323-933-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |