| NPI | 1851662894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L NICOLAS Director 323-932-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56787) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |