| NPI | 1306006259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA C. IBALLA Secretary 714-999-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |