| NPI | 1053593137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E GINGLES Chief Executive Officer 909-777-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 53198) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 100577) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2012-09-20 |