| NPI | 1689632481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAY A NYENKE Manager 323-933-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA H590390001) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |