| NPI | 1194082354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KIETH SIRKO President/CEO 951-656-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 55273) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |