Pacifica Medical Supply in Laguna Beach - Durable Medical Equipment & Medical Supplies
Pacifica Medical Supply - NPI 1164619987
Pacifica Medical Supply is a Durable Medical Equipment & Medical Supplies in Laguna Beach, California. Pacifica Medical Supply practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Pacifica Medical Supply is 1164619987. The last update date is 2007-09-25.
Pacifica Medical Supply's current location address is 24192 Mimosa Dr, Laguna Beach, California. You can contact this provider via phone number 9496777523. The mailing address for Pacifica Medical Supply is 24192 Mimosa Dr, Laguna Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacifica Medical Supply |
|---|---|
| Address | 24192 Mimosa Dr, Laguna Beach, California |
| Phone Number | 9496777523 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Polucha Kevin |
| Telephone Number | 9496777523 |
NPI Number Detail
| NPI Number | 1164619987 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 24192 Mimosa Dr |
|---|---|
| City | Laguna Beach |
| State | California (CA) |
| Post Code | 926777000 |
| Phone Number | 9496777523 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 2756954 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique 10-digit identification code issued to Pacifica Medical Supply by the Centers for Medicare & Medicaid Services?
The Pacifica Medical Supply has been assigned the NPI (National Provider Identifier) 1164619987 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Pacifica Medical Supply is physically located?
The Pacifica Medical Supply is physically situated at the following address: 24192 Mimosa Dr, Laguna Beach, CA, 926777000.
What is Pacifica Medical Supply's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pacifica Medical Supply is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
When did the Pacifica Medical Supply receive its 1164619987?
The Pacifica Medical Supply was issued its 1164619987 on 2007-09-25, which is the date when the organization was assigned this unique identifier.
When was the Pacifica Medical Supply's information last updated?
The Pacifica Medical Supply's information was last updated on 2007-09-25.
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