| NPI | 1598376790 |
|---|---|
| Doing Business As | SUPERCARE DEPOT INC |
| Entity Type | Organization |
| Authorized Contact | MEHRAN MICHAEL KHALILI CEO 310-422-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |