| NPI | 1912191263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGOR TER GRIGORYAN President 626-296-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |