| NPI | 1518952837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA MELLER Owner Provider 310-202-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2025-09-11 |