| NPI | 1265966824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MOORE President 562-506-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0002888567-0001-5) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |