NPI | 1619997061 |
---|---|
Entity Type | Organization |
Authorized Contact | MODESOLA BIMBO AKINBI Owner 310-532-3080 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 45311) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-05-07 |