| NPI | 1568799096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY OLADOKUN Director 909-941-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 52753) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-12-10 |