| NPI | 1952315608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZHER A HADDAWI P 619-466-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 52149) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-04-10 |