| NPI | 1992871180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE I UWAEZUOKE President 323-242-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102327) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 102327) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-12-29 |