| NPI | 1063409936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENESSA N DIXON CFO 510-236-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101793) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5156830001) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-06-23 |