Organization
SOUTH COAST DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY MOQUIN (PRESIDENT)
(714) 396-7807
Entity
Organization
Contact information
Practice address
19744 BEACH BLVD, SUITE 304, HUNTINGTON BEACH, CA 92648-2988
(888) 715-9990
(888) 837-9990
Mailing address
19744 BEACH BLVD, SUITE 304, HUNTINGTON BEACH, CA 92648-2988
(888) 715-9990
(888) 837-9990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
A274709
CA
Other
Enumeration date
05/31/2012
Last updated
06/04/2012
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