| NPI | 1326461799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA SUAREZ Office Manager 951-695-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 40118) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |