NPI | 1487255485 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE ALAN JOHNSON Authorized Official 949-586-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |