| NPI | 1831241033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZIN KHALKHALI President 310-645-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CA PHY45770) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY45770) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: CA PHY45770) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: CA PHY45770) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-12-23 |