| NPI | 1629281779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ISA SHALIKAR Owner 760-962-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 138362) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-06-21 |