# COASTAL CARE DME INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Care DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306126560
- **Authorized official:** MR. NICK NEZHAD (OWNER)
- **Authorized official phone:** (818) 855-2700

## Contact information

- **Practice address:** 16530 VENTURA BLVD, STE. 411, ENCINO, CA 91436-4554
- **Practice address phone:** (818) 855-2700
- **Practice address fax:** (818) 855-2701
- **Mailing address:** 16530 VENTURA BLVD., STE. 411, ENCINO, CA 91436
- **Mailing address phone:** (818) 855-2700
- **Mailing address fax:** (818) 855-2701

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 08/19/2011