| NPI | 1285965392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STEVEN SULIS CPO, Owner 951-367-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA CPO02649) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2019-07-18 |