| NPI | 1619084720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O. TEMITOPE ANIFOWOSE Owner 310-324-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103477) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |