Organization
GOOD LIFE MEDICAL SYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD S COHEN (PRESIDENT)
(949) 515-3434
Entity
Organization
Contact information
Practice address
1001 W 17TH ST, SUITE R, COSTA MESA, CA 92627-4512
(949) 515-3434
Mailing address
1001 W 17TH ST, # R, COSTA MESA, CA 92627-4512
(949) 515-3434
(949) 515-3434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03131F
—
CA
Enumeration date
08/24/2005
Last updated
08/22/2020
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