| NPI | 1457531824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARK METHA President 909-946-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |