| NPI | 1194594390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA HREN VP 949-355-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |