| NPI | 1710966015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN ABOLAJI ISAACS President 310-404-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 43358) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-07-07 |