| NPI | 1184032930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL J. CONCEPCION Dispenser/Co Owner 209-952-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HA4021) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA ha4021) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |