| NPI | 1760417323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM O. AMUDIPE President/CEO 909-370-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME02460F) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-12-14 |