| NPI | 1437406683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR NODTVEDT Owner 949-360-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 3416L0300X Ambulance Land Transport | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-04-08 |