| NPI | 1366597858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG DENNIS AHN CEO 951-672-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA Pending) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |