# SOUTH COAST MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1366794778
- **Authorized official:** MR. ANTHONY MENARD (PARTNER)
- **Authorized official phone:** (714) 847-0010

## Contact information

- **Practice address:** 18351 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92648-1347
- **Practice address phone:** (714) 847-0010
- **Practice address fax:** (714) 847-0017
- **Mailing address:** 18351 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92648-1347
- **Mailing address phone:** (714) 847-0010
- **Mailing address fax:** (714) 847-0017

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012