| NPI | 1568637957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY LAZO Manager 310-855-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48591) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-28 |