| NPI | 1639391667 |
|---|---|
| Former Legal Business Name | P&G HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MACARIA PADILLA Owner 951-601-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101-626944) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-03-04 |