| NPI | 1992165815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA RODRIGUEZ Biller 323-246-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 221343) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2024-05-29 |