| NPI | 1740152321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGKYU CHAE CEO 714-749-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |