Organization
SOUTHERN CALIFORNIA MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY F. DE COU (ADMINISTRATOR)
(714) 596-9400
Entity
Organization
Contact information
Practice address
18368 ENTERPRISE LN, HUNTINGTON BEACH, CA 92648-1201
(714) 596-9400
(714) 596-9500
Mailing address
PO BOX 4169, HUNTINGTON BEACH, CA 92605-4169
(714) 596-9400
(714) 596-9500
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
01/23/2008
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