| NPI | 1780915744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL BARRIGUETE ORTIZ Authorized Official 562-633-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2011-04-18 |