| NPI | 1144245069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES OKPALA CEO 909-886-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103779) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-04 |