| NPI | 1538508668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIMMONS Member 310-319-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 199913110063) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |