| NPI | 1952847386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADAPORN BUNNUEA Owner 562-222-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2019-07-30 |