| NPI | 1073041653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINH NGUYEN Manager 949-302-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5783) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-07-21 |