| NPI | 1952346298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALILA BAINER CEO 310-212-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100632) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: VA CP002624) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-12-19 |