| NPI | 1629183496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E ETUK Director Of Operation 310-241-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 45847) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-06-20 |