| NPI | 1962506535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY RAJAH Owner President 818-500-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100217) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |