NPI | 1538399233 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN HOBERT CEO/President 760-795-5440 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR 14539258001) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 14539258001) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2023-09-19 |