Organization
ORANGE COAST MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK THIPAVONG (PRESIDENT)
(714) 892-7205
Entity
Organization
Contact information
Practice address
5455 GARDEN GROVE BLVD, SUITE 450, WESTMINSTER, CA 92683-1891
(714) 892-7205
(714) 892-7059
Mailing address
PO BOX 1115, WESTMINSTER, CA 92684-1115
(714) 892-7205
(714) 714-8927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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