| NPI | 1437448289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GONZALES President 949-727-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 26408) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |