| NPI | 1609134360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALVIN STATON Chief Financial Officer 310-267-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 930000146) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2018-01-31 |