| NPI | 1730189937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BOWE Office Manager 949-955-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100849) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-01-23 |