| NPI | 1619167095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA A REYES Managing Director 310-677-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46985) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-02-22 |