| NPI | 1780748129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERENEA DAR JUAN VILLANUEVA President 626-445-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100600) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |