| NPI | 1912177262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KENNETH ABEND Owner 310-377-6926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |