| NPI | 1730558115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY A BERNOCCHI CEO 714-895-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9623310-1703) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-04-29 |