PACIFICA MEDICAL SUPPLY NPI 1164619987

NPI Information

PACIFICA MEDICAL SUPPLY is a durable medical equipment medical supplies in Laguna Beach, 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. PACIFICA MEDICAL SUPPLY NPI is 1164619987. The provider is registered as an organization entity type.

The provider's business location address is:

24192 MIMOSA DR
LAGUNA BEACH, CA
ZIP 92677-000
Phone: (949) 677-7523

The provider's authorized official is Kevin Polucha .
The authorized official title is Owner and has the following contact phone number (949) 677-7523.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/25/2007.

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:

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