| NPI | 1184023665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KELP President 949-939-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |