| NPI | 1518272491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JANE GIBSON Manager 310-550-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2018-08-24 |