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SOUTH COAST FITTER LLC NPI 1699043596


NPI Information

NPI: 1699043596
Provider Name: SOUTH COAST FITTER, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D1092781

Address:
3334 E COAST HWY
SUITE 278
CORONA DEL MAR, CA
ZIP 92625
Phone: (323) 605-4101
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SOUTH COAST FITTER, LLC is a durable medical equipment medical supplies in Corona Del Mar, CA. The provider is 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. SOUTH COAST FITTER, LLC NPI is 1699043596. The provider is registered as an organization entity type.

The provider's business location address is:

3334 E COAST HWY
SUITE 278
CORONA DEL MAR, CA
ZIP 92625-328
Phone: (323) 605-4101
Fax: (702) 476-0720

The provider's authorized official is Stacie Beth Greenspan .
The authorized official title is Partner and has the following contact phone number (323) 605-4101.

The CLIA number assigned to this NPI record is 05D1092781 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies55970CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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