| NPI | 1871814004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAKIM MOHAMED ISCANDARI President 909-945-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 53829) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-08-27 |