| NPI | 1861673857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER O BANKOLE President 310-354-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48139) |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2008-09-24 |