| NPI | 1962523902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MFON UMANAH Operation Manager 323-778-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46434) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |