| NPI | 1174510721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN HOFFMANN President 661-377-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY37014) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-03-07 |