| NPI | 1063656320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL COLLINS Chief Customer Experience Officer 661-294-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 09-1717) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2020-11-20 |