| NPI | 1881775955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN DALE VIVO Chief Operations Officer 909-627-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 2736117) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |