| NPI | 1063738656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOREN LIND President 949-443-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 10099) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2022-01-20 |