| NPI | 1124378716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G. HAUSER Owner 951-233-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA sreh102-260032) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |