| NPI | 1053788703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SLAVIK Member 949-285-9796 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |