| NPI | 1922099159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK FARROKH RANDJBAR Owner/Director 714-563-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD C21643) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-06-01 |