| NPI | 1003152786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GOMEZ Office Manager 951-509-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56490) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |