| NPI | 1003121385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUFYAN M SYED Secretary 619-415-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |