Organization
SOUTHERN CALIFORNIA MOBILITY DYNAMICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCIE MARICH ATP (OWNER)
(714) 847-7300
Entity
Organization
Contact information
Practice address
16321 GOTHARD ST, SUITE B, HUNTINGTON BEACH, CA 92647-3645
(714) 847-7300
(714) 847-7338
Mailing address
16321 GOTHARD ST, SUITE B, HUNTINGTON BEACH, CA 92647-3645
(714) 847-7300
(714) 847-7338
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
03/24/2011
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