| NPI | 1669065975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO VALENZUELA President 619-609-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-03-02 |