| NPI | 1215371638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LINDAHL President 949-683-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ P014357) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |