Provider Demographics
NPI:1477871879
Name:COAST MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:COAST MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-557-2555
Mailing Address - Street 1:PO BOX 1058
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-6058
Mailing Address - Country:US
Mailing Address - Phone:714-557-2555
Mailing Address - Fax:
Practice Address - Street 1:3001 RED HILL AVE
Practice Address - Street 2:BLDG 6, SUITE 205
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4529
Practice Address - Country:US
Practice Address - Phone:714-557-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies