| NPI | 1790922375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO MEDINA Co Owner 818-406-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 50698) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |