| NPI | 1124527395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA R DOMINGUEZ Office Manager 951-785-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2020-08-13 |