| NPI | 1023747243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH GABRIELA FUENTES Managing Member 714-812-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-13 |