| NPI | 1821169376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN JOHNSON Owner 310-590-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103271) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-11-13 |