| NPI | 1629080700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHIT GRIGORYAN Dme Owner 323-257-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101183) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 18131) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA c17386) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-12-15 |