| NPI | 1568757763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS LE Manager 714-897-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103565) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |