| NPI | 1508493891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY DE GUZMAN President 310-666-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-28 |