| NPI | 1972643245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUDEEN LAT AJAO President 310-514-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46594) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-25 |