| NPI | 1902134927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID O'DONNELL Owner 408-896-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 52722) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |