| NPI | 1538338033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY A LUEVANO CEO/Owner 310-638-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 103642) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |