| NPI | 1730777681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA YELIZAROV President 818-618-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |