| NPI | 1881948099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN BREEDVELD President 949-607-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2014-09-05 |