| NPI | 1417558404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE ALAN JOHNSON Authorized Official 949-586-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2021-03-20 |