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 |