| NPI | 1801356886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ONG-VELOSO Owner 760-242-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |