| NPI | 1326411356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUNNAR BOX President 951-898-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171WV0202X Contractor Vehicle Modifications |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |