| NPI | 1457641094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANK VIVIANO President 818-292-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA 101-697629) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 101-697629) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2024-09-19 |