| NPI | 1578595641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKEY OKAFOR Managing Director 323-299-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME03143G) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA DME03143G) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA DME03143G) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-10-26 |