| NPI | 1235235391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RICHARD DEBENCE CEO/Officer 951-549-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44124) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-02-14 |