| NPI | 1497949630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M LIRA Manager 909-946-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA sr eh 100-360603) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |