| NPI | 1568083087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KNOWLES Secretary 714-895-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-09-29 |