# WEST COAST DME & SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OrthoKinetix
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376883660
- **Authorized official:** MR. MICHAEL GREGORY WELLS C.PED (COO)
- **Authorized official phone:** (909) 908-3920

## Contact information

- **Practice address:** 1835 CHICAGO AVE., UNIT A, RIVERSIDE, CA 92507
- **Practice address phone:** (909) 477-3117
- **Practice address fax:** (909) 303-9244
- **Mailing address:** 1835 CHICAGO AVE., UNIT A, RIVERSIDE, CA 92507
- **Mailing address phone:** (909) 477-3117
- **Mailing address fax:** (909) 303-9244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 09/23/2025