# WEST COAST MEDICAL, INC

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

## Provider details

- **NPI number:** 1922451004
- **Authorized official:** THEODORE NORDBLUM (PRESIDENT/SECRETARY)
- **Authorized official phone:** (805) 465-8232

## Contact information

- **Practice address:** 803 CAMARILLO SPRINGS RD, SUITE C, CAMARILLO, CA 93012-9459
- **Practice address phone:** (805) 465-8200
- **Practice address fax:** (805) 426-8564
- **Mailing address:** PO BOX 365, NEWBURY PARK, CA 91319-0365
- **Mailing address phone:** (805) 465-8221
- **Mailing address fax:** (805) 426-8564

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2016
- **Last updated:** 09/07/2016