| NPI | 1255579850 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ALLEN A RODRIGUEZ CEO 909-331-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 20090001380) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2010-06-01 |