| NPI | 1154755148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID QUIROZ Owner 805-517-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 57836) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |