| NPI | 1982842720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYACHESLAV S SAMARKIN Owner 323-578-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2010-03-31 |