| NPI | 1295882058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA MEJIA Owner 951-653-9710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 17439) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |