| NPI | 1407905359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCK MENGISTU President 323-939-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102795) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-08-27 |