| NPI | 1043512114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SUOR VP General Manager 661-294-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2025-01-14 |