| NPI | 1780338491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAM GOLCHIN MOGHADDAM Manager 949-547-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-08-08 |