| NPI | 1629400569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE D WALZ Owner 714-542-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56818) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |