| NPI | 1093153587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J CONNOR Manager 858-568-7059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102407262) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |