| NPI | 1629654652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN BALADEHEI CEO 424-302-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2023-01-22 |