| NPI | 1255732046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA B RISOS Owner/Doctor 619-482-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 50416) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |