# SEA BREEZE MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033276647
- **Authorized official:** ALFONSO PALACIOS (OWNER)
- **Authorized official phone:** (310) 944-3200

## Contact information

- **Practice address:** 1926 S PACIFIC COAST HWY STE 112, REDONDO BEACH, CA 90277-6149
- **Practice address phone:** (310) 944-3200
- **Practice address fax:** (310) 944-3208
- **Mailing address:** 1926 S PACIFIC COAST HWY STE 112, REDONDO BEACH, CA 90277-6149
- **Mailing address phone:** (310) 944-3200
- **Mailing address fax:** (310) 944-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103115 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020