| NPI | 1871752766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J PETTINELLI Managing Partner 310-717-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48982) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 48982) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |