| NPI | 1942403068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SOGBEIN Operation Director 818-376-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 47458) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-08-28 |