| NPI | 1962782771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN HASSELL Manager 323-750-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DHS PENDING) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |