| NPI | 1730376567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL PADILLA Owner/ President 951-601-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |