| NPI | 1750603783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK LISHEY Owner 310-717-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |