| NPI | 1790438703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA BROWN Business Manager 949-891-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |