Pacifica Medical Supply

LBN: Pacifica Medical Supply
Pacifica Medical Supply is an health care organization with primary practice located at 24192 Mimosa Dr , Laguna Beach CA 92677-7000. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Pacifica Medical Supply can be contacted via phone (949) 677-7523, or through Polucha, Kevin via phone (949) 677-7523.

Contact Information

Primary practice address
24192 Mimosa Dr Laguna Beach CA 92677-7000
Phone: (949) 677-7523
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polucha, Kevin
Phone: (949) 677-7523

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2756954 California

Profile Details

NPI number 1164619987
LBN Legal business name Pacifica Medical Supply
DBA Doing business as
Authorized official Polucha, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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