| NPI | 1487928123 |
|---|---|
| Doing Business As | IFOG |
| Entity Type | Organization |
| Authorized Contact | LARRY L WICK CEO 760-889-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA FHB101207653) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA B2009034145) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |