| NPI | 1700016268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED EJAZ HUSSAIN Secretary 909-865-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101-212674) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2010-05-07 |