| NPI | 1164460648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A LARSON Manager 805-777-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100-746736) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-02 |