| NPI | 1194741512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TUCKER President 714-632-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 97716735) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-12-17 |