Organization
PATIENT SLEEP SUPPLIES INC.
Active
Other names
Gold Coast Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN EDWARD MALCHOW (CHIEF EXECUTIVE OFFICER)
(877) 823-9310
Entity
Organization
Contact information
Practice address
2001 CORPORATE CENTER DR, THOUSAND OAKS, CA 91320-1428
(877) 823-9310
Mailing address
2001 CORPORATE CENTER DR, THOUSAND OAKS, CA 91320-1428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78482
HOME MEDICAL DEVICE RETAIL
CA
Enumeration date
08/14/2018
Last updated
05/06/2019
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