NPI | 1740291541 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE ANGELINE Provider Contract Analyst Iii 714-961-2102 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-05-27 |