| NPI | 1558597195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA VIRCHENKO Owner/ President 818-243-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101-230828) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-05-31 |