| NPI | 1871776328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONYONGA GABRIEL TODMIA Owner 310-676-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 97028850) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |