| NPI | 1508903360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAURIE BOLWELL Owner 714-998-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100-823327) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |