| NPI | 1497292346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARLYNN TUCKER Operations Manager 213-200-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 95480) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |