| NPI | 1902935901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY V TRIVOLI CEO 818-241-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 17087789) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |