| NPI | 1679625677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P HEANEY President 714-843-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-09-28 |