| NPI | 1972670008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D SMITH President 657-859-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HA0018650) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: CA HA0018650) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-07 |