| NPI | 1306820873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VAYSBERG President 415-440-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MN 1433) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: MD C17444) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |