| NPI | 1639482367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOSI HAIDOSTIAN Owner 818-480-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101-595313) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |