| NPI | 1821268541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAKHI SHUSHIASHVILI Presednt 818-842-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 000231817600010) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-01-08 |