| NPI | 1225220676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA MARIE CAUTIVERIO Owner/Office Operation Manager 510-834-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA ch 100-883052) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2010-03-31 |