| NPI | 1699136796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P KELP President 949-939-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |