| NPI | 1124832803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHWANI UPADHYAY Manager 949-332-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |