# MICHAEL MENARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Coast Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770709974
- **Authorized official:** MICHAEL MENARD CERTIFIED TECHNICIAN (R. NCS. T.)
- **Authorized official phone:** (714) 892-4922

## Contact information

- **Practice address:** 14482 BEACH BLVD STE T, WESTMINSTER, CA 92683-5341
- **Practice address phone:** (714) 892-4932
- **Practice address fax:** (714) 892-4942
- **Mailing address:** 14482 BEACH BLVD STE T, WESTMINSTER, CA 92683-5341
- **Mailing address phone:** (714) 892-4932
- **Mailing address fax:** (714) 892-4942

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 01/07/2009