| NPI | 1104861715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER MEGYES General Manager 951-686-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 100418) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |