| NPI | 1407974124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN BELUSO MARTE President 951-656-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 09152) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |