| NPI | 1669601415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GAVIOLA President 323-550-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 002197618) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |