Provider Demographics
NPI:1184729311
Name:ORANGE COAST RESPIRATORY CARE SERVICES INC
Entity type:Organization
Organization Name:ORANGE COAST RESPIRATORY CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP-OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-447-0282
Mailing Address - Street 1:1090 N ARMANDO ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2605
Mailing Address - Country:US
Mailing Address - Phone:714-447-0282
Mailing Address - Fax:714-630-1694
Practice Address - Street 1:1090 N ARMANDO ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2605
Practice Address - Country:US
Practice Address - Phone:714-447-0282
Practice Address - Fax:714-630-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABUS200304592332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00538GMedicaid
CA0214040001Medicare NSC