| NPI | 1649758376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OTIKO President 818-836-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G077666) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-01-09 |