| NPI | 1962504654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAVIS Administrator 323-750-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-06-18 |