| NPI | 1023188943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ALVIN JENNINGS President 951-352-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CA CPO02544) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: CA CPO02544) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-12-22 |