| NPI | 1669844650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE HUGHES Medical Director 661-393-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2023-11-16 |