| NPI | 1457155491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY CHARLES WENDT CEO 949-474-2050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |