| NPI | 1174975882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY JAIN Owner 949-529-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 61024) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |