| NPI | 1407867575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA A CHAVOS Owner/President 949-644-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 43188) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |