NPI | 1972586071 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS ZAER CEO 310-755-6480 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 101318) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2005-11-22 |
Last Update Date | 2018-10-02 |