| NPI | 1104856806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. SULIS Prosthetist Orthotist (Owner) 951-367-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-11-05 |