| NPI | 1689347023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA HREN VP 949-474-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-07-29 |