| NPI | 1639490881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYCIE MARICH Owner 714-847-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2011-03-24 |