| NPI | 1881708899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SUOR VP General Manager 661-294-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY 36848) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY 36848) |
| 333600000X Pharmacy (Licence: CA PHY 36848) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-01-14 |