| NPI | 1730592098 |
|---|---|
| Doing Business As | QUEEN OF ANGELS MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | KHRIST KAKOSIMIDI Owner 818-760-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 45059) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-07-24 |