| NPI | 1548254782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PHI-NGUYEN Office Manager 909-824-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 33837) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-08-22 |