| NPI | 1831302850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA KAGANOVSKY President 323-782-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 52093) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 52093) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 52093) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-01-11 |