Pacifica Medical Supply
NPI #1164619987 in Laguna Beach, California
Provider Information
- NPI Number
- 1164619987
- Entity Type
- Organization
- Organization Name
- Pacifica Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Sep 25, 2007
Practice Location
- Address
- 24192 MIMOSA DR
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92677-7000
- Phone
- (949) 677-7523
Authorized Official
- Name
- KEVIN POLUCHA
- Title
- OWNER
- Phone
- (949) 677-7523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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