Organization
WEST COAST DME & SUPPLIES LLC
Active
Other names
OrthoKinetix
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GREGORY WELLS C.PED (COO)
(909) 908-3920
Entity
Organization
Contact information
Practice address
1835 CHICAGO AVE., UNIT A, RIVERSIDE, CA 92507
(909) 477-3117
(909) 303-9244
Mailing address
1835 CHICAGO AVE., UNIT A, RIVERSIDE, CA 92507
(909) 477-3117
(909) 303-9244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/22/2013
Last updated
09/23/2025
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