| NPI | 1578007993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATRICK KELP CEO 949-939-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |