| NPI | 1992830616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BRADLEY ANDERSON Owner 949-378-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44257) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-04-11 |