| NPI | 1073391983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE ALVAREZ Managing Member Secretary 619-651-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-03-11 |