| NPI | 1417041112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKSON BOLA ALABI Sole Proprietor 562-699-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME02177F) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA DME02177F) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA DME02177F) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-08-31 |