| NPI | 1962675256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMSALE MAMO Owner 310-770-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48971) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |