| NPI | 1922316355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JUAREZ Office Manager 310-553-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |