# SAN DIEGO COASTAL DME, INC.

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

## Provider details

- **NPI number:** 1578702627
- **Authorized official:** MS. DEBORAH K. KELLY (CFO)
- **Authorized official phone:** (619) 871-4288

## Contact information

- **Practice address:** 6433 TOPMAST DR, CARLSBAD, CA 92011-1265
- **Practice address phone:** (760) 929-8527
- **Practice address fax:** (760) 929-9791
- **Mailing address:** 6433 TOPMAST DR, CARLSBAD, CA 92011-1265
- **Mailing address phone:** (760) 929-8527
- **Mailing address fax:** (760) 929-9791

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 02/12/2009
