| NPI | 1437336955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME KEVIN TYLER Owner 310-462-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |