| NPI | 1942762174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACE MONZON KAMANTIGUE Member 562-449-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-11-20 |