| 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 |