# COAST TO COAST DME

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

## Provider details

- **NPI number:** 1396360194
- **Authorized official:** CHRISTOPHER OTIKO DPM (CEO)
- **Authorized official phone:** (818) 836-2475

## Contact information

- **Practice address:** 1755 W HAMMER LN STE 2, STOCKTON, CA 95209-2900
- **Practice address phone:** (800) 869-9203
- **Mailing address:** 3355 N WHITE AVE UNIT 7310, LA VERNE, CA 91750-6161
- **Mailing address phone:** (909) 223-3314
- **Mailing address fax:** (909) 592-0738

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 06/08/2020