# ORANGE COAST MEDICAL INCORPORATED

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

## Provider details

- **NPI number:** 1194976639
- **Authorized official:** MR. NICK THIPAVONG (PRESIDENT)
- **Authorized official phone:** (714) 892-7205

## Contact information

- **Practice address:** 5455 GARDEN GROVE BLVD, SUITE 450, WESTMINSTER, CA 92683-1891
- **Practice address phone:** (714) 892-7205
- **Practice address fax:** (714) 892-7059
- **Mailing address:** PO BOX 1115, WESTMINSTER, CA 92684-1115
- **Mailing address phone:** (714) 892-7205
- **Mailing address fax:** (714) 714-8927

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/02/2008