NPI | 1891333449 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER AYODELE OTIKO President 818-708-7668 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-12-13 |
Last Update Date | 2023-02-02 |