| NPI | 1811171101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEY GENNADYEVICH KURKIN President 323-662-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-07-21 |