| NPI | 1417773326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL ALAN WOLFE CEO 661-974-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |