Organization
NTS DME
Active
Other names
SOUTH COAST MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NEWTON NEWMAN (PRESIDENT)
(949) 500-7622
Entity
Organization
Contact information
Practice address
2506 BACK BAY LOOP, COSTA MESA, CA 92627-5413
(800) 992-7846
(888) 992-7846
Mailing address
2506 BACK BAY LOOP, COSTA MESA, CA 92627-5413
(800) 992-7846
(888) 479-9625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
56571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22426
RETAIL EXEMPTEE LICENSE
CA
Enumeration date
01/25/2012
Last updated
01/25/2012
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