| NPI | 1083128102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL SILVA Owner / Gm 858-663-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 97340) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2024-02-29 |