| NPI | 1619807773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE GABBARD Administrator 714-904-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |