| NPI | 1033218706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN NEWSOME President 760-599-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 14630) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |