Organization
SOUTH COAST FITTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE BETH GREENSPAN (PARTNER)
(323) 605-4101
Entity
Organization
Contact information
Practice address
3334 E COAST HWY, SUITE 278, CORONA DEL MAR, CA 92625-2328
(323) 605-4101
(702) 476-0720
Mailing address
3334 E COAST HWY, SUITE 278, CORONA DEL MAR, CA 92625-2328
(323) 605-4101
(702) 476-0720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55970
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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