| NPI | 1326059080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN BISCHOFF Secretary 831-338-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 4416050001) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-11-09 |