| NPI | 1740802610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELDA BALLON General Manager 949-398-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-09-20 |