| NPI | 1609065879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER ISONG President 323-933-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103342) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |