Organization
COAST MEDICAL SERVICE & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD GERAMI (CEO)
(541) 260-3471
Entity
Organization
Contact information
Practice address
22762 ASPAN ST, STE 205B, LAKE FOREST, CA 92630-1604
(541) 260-3471
(541) 756-7716
Mailing address
22762 ASPAN ST, STE 205B, LAKE FOREST, CA 92630-1604
(541) 260-3471
(541) 756-7716
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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