| NPI | 1821164591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP EDWARD LARKINS Owner & Provider 760-741-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E4457) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA E4457) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2009-01-27 |