| NPI | 1679925572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL FLORES Administrator 323-932-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-11-16 |