| NPI | 1649401118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOHREH POURMOUSSA Owner 818-516-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2009-08-01 |