| NPI | 1295417434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DEBONDT Executive Assistant 661-324-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |