| NPI | 1619196102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM NGUYEN Director 916-383-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 2910842) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |