| NPI | 1730212036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M WELCH Owner 951-658-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA CPED876) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-11-27 |