| NPI | 1285022558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISH WORDEN General Manager 714-939-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 621400785) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |