| NPI | 1407383151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WOODS President 949-716-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 96337) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |