| NPI | 1861927923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRABELLE GOMEZ President 760-861-8566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-04-15 |