| NPI | 1104858943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHAN CEO 562-438-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY 37811) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |