| NPI | 1124132154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SUOR VP And General Manager 661-294-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 06 02581) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 06 02581) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-01-14 |