| NPI | 1255642872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS S. ORTEGA President 951-658-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 53666) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |