| NPI | 1518203389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN TRUJILLO Manager/Owner 818-505-7254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 58992) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |