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Organization

PACIFIC COAST MEDICAL SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARIE MORTENSEN (CEO/PRESIDENT)
(562) 706-4552
Entity
Organization

Contact information

Practice address
1155 SPORTFISHER DR, SUITE 210, OCEANSIDE, CA 92054-4168
(562) 706-4552
(877) 733-3462
Mailing address
1155 SPORTFISHER DR, SUITE 210, OCEANSIDE, CA 92054-4168
(562) 706-4552
(877) 733-3462

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CA

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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