| NPI | 1013382027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANGXIN XU Program Director 408-885-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 74073) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |