| NPI | 1659925998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCDOWELL Office Manager 951-782-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-11-25 |