# SOUTH COAST DME

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

## Provider details

- **NPI number:** 1184985673
- **Authorized official:** MR. BARRY MOQUIN (PRESIDENT)
- **Authorized official phone:** (714) 396-7807

## Contact information

- **Practice address:** 19744 BEACH BLVD, SUITE 304, HUNTINGTON BEACH, CA 92648-2988
- **Practice address phone:** (888) 715-9990
- **Practice address fax:** (888) 837-9990
- **Mailing address:** 19744 BEACH BLVD, SUITE 304, HUNTINGTON BEACH, CA 92648-2988
- **Mailing address phone:** (888) 715-9990
- **Mailing address fax:** (888) 837-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | A274709 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2012
- **Last updated:** 06/04/2012