| NPI | 1649418047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE GUERRERO Owner 949-716-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100-389874) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2012-03-01 |