| NPI | 1780125013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOREN LIND President 949-443-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-01-20 |