| NPI | 1518105840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN STELLAR CEO 626-584-0805 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 97942973) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |