| NPI | 1699463182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE KNOWLES Secretary 714-895-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |