| NPI | 1831434059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PAYTON Vice President/Chief Medical Office 909-478-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |