| NPI | 1538219027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM C NWOSU Owner 310-330-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44634) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |