| NPI | 1578807095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MARMOLEJO CEO 661-371-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 127807) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |