| NPI | 1760562698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVGENY SAZANOV Owner President 760-327-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-10-14 |