Organization
SOUTH COAST MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MENARD (PARTNER)
(714) 847-0010
Entity
Organization
Contact information
Practice address
18351 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92648-1347
(714) 847-0010
(714) 847-0017
Mailing address
18351 BEACH BLVD STE G, HUNTINGTON BEACH, CA 92648-1347
(714) 847-0010
(714) 847-0017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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