| NPI | 1356225866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SUOR VP And General Manager 661-294-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |