| NPI | 1689555872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAWEN LIANG CEO 909-991-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |