| NPI | 1568504165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN B. EZENWA CEO 323-750-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103186) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |