| NPI | 1982654778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN CONCEPCION LIZARDO President CEO 909-466-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HMDR103277) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-01-11 |