| NPI | 1295300929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON LOREN MCNAUGHTON Owner 714-321-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-07-08 |