| NPI | 1972545259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFAR A MANSOOR Owner 323-263-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA 102686) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-12-17 |