| NPI | 1811069065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G MONTGOMERY Owner 818-558-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102901) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-10-29 |