Provider Demographics
NPI:1568728293
Name:WEST OCEAN MARKETING & DEVELOPMENT
Entity Type:Organization
Organization Name:WEST OCEAN MARKETING & DEVELOPMENT
Other - Org Name:WESTOCEAN MD INDUSTRIAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DEAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-904-4982
Mailing Address - Street 1:21520 PIONEER BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HAWAIIAN GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90716-2603
Mailing Address - Country:US
Mailing Address - Phone:714-904-4982
Mailing Address - Fax:310-491-7089
Practice Address - Street 1:21520 PIONEER BLVD
Practice Address - Street 2:203
Practice Address - City:HAWAIIAN GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90716-2603
Practice Address - Country:US
Practice Address - Phone:714-904-4982
Practice Address - Fax:310-491-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service