Provider Demographics
NPI:1912174871
Name:WESTCOAST MEDICAL CARE,INC.
Entity Type:Organization
Organization Name:WESTCOAST MEDICAL CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:ISIOMA
Authorized Official - Last Name:OGBECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-542-4019
Mailing Address - Street 1:18436 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4541
Mailing Address - Country:US
Mailing Address - Phone:310-542-4019
Mailing Address - Fax:310-542-4319
Practice Address - Street 1:18436 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-4541
Practice Address - Country:US
Practice Address - Phone:310-542-4019
Practice Address - Fax:310-542-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6162230001Medicare NSC