| NPI | 1720792005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCCORMICK Principal 714-580-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |