| NPI | 1508094301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRDIA RAJ DESAI Owner 951-684-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA BL00136169) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2010-12-06 |