| NPI | 1639114135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHRAM OGOKE Owner 213-413-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 3852080001) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-07-09 |