| NPI | 1891872594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS CIFUENTES Owner 818-760-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 5457080001) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-01-06 |