| NPI | 1508170739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARIO FLORES President Owner 213-304-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |