| NPI | 1477669042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENON D MCKINNEY Manager 310-669-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 2531) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-07-07 |