| NPI | 1629107313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA SYVORAVONG Director 714-535-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 46458) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-06-21 |