| NPI | 1346438587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE ROGERS Manager 714-223-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G46297) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA G46297) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2010-11-04 |