| NPI | 1992898647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD CLIFTON ROSS Owner 714-826-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 54666) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 54666) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-10-04 |