| NPI | 1407240864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P ERIKSMOEN President 949-640-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 19340) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |