| NPI | 1518708320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TYRRELL-KNOTT SVP/Chief Compliance Officer 760-734-4766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |