| NPI | 1821018367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A ADEYEMO General Manager 909-941-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103422) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |