| NPI | 1730246877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY AZOVSKIY Owner 818-992-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46242) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |