| NPI | 1992154983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GONZALES Owner 949-727-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 26408) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2017-04-13 |