| NPI | 1073750949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELITA S. AMORANTO Operation Manager 909-980-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HMDR License # 51915) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: n/a) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2010-06-01 |