| NPI | 1316343304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BUCK President 714-649-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 76931) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-12-18 |