| NPI | 1295053858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ABABSEH President 805-522-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0002402171-0001-2) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 51170) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 0002402171-0001-2) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2015-11-10 |