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PACIFIC COAST MEDICAL SUPPLY
NPI 1053707182
Durable Medical Equipment & Medical Supplies in Los Angeles, CA

Active since April 15, 2015
1704 W MANCHESTER AVE, SUITE 105, LOS ANGELES, CA 90047(562) 706-4552(877) 733-3462 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Coast Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC COAST MEDICAL SUPPLY (NPI 1053707182), doing business as Gold Coast Diabetes, is a healthcare organization registered as a durable medical equipment & medical supplies in Los Angeles, California and active in the NPI registry since April 2015. The organization lists Carie Mortensen, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1053707182
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePACIFIC COAST MEDICAL SUPPLY
Location Address1704 W MANCHESTER AVE, SUITE 105Los Angeles, CA 90047-3063
Mailing Address218 Chicago Ave, Suite 8Huntington Beach, CA 92648-5292 · (562) 706-4552 · Fax (877) 733-3462
Phone(562) 706-4552
Fax(877) 733-3462
Organization SubpartNo
Authorized OfficialCarie MortensenCeo/president · (562) 706-4552
Enumeration DateApril 15, 2015
Last NPPES UpdateApril 24, 2015
✔ NPI 1053707182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1704 W MANCHESTER AVE, Los Angeles, CA 90047
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Other Names 1

Former Legal Business NameGold Coast Diabetes

Other Identifiers 1

Medicare NSC6449380001CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOVING TOUCH HOSPICE CARE, INC.
Hospice Care, Community Based
1704 W MANCHESTER AVE, SUITE 101-D
LOS ANGELES, CA 90047
Los Angeles County (323) 789-6728
CORDELIA O EZE BS
Counselor (Addiction (Substance Use Disorder))
1704 W MANCHESTER AVE, SUITE 105
LOS ANGELES, CA 90047
Los Angeles County (323) 759-6224
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Family Medicine
1704 W MANCHESTER AVE, SUITE 109
LOS ANGELES, CA 90047
Los Angeles County (323) 778-8485
MORNINGSIDE PRIMARY CARE MEDICAL CTR, INC
General Practice
1704 W MANCHESTER AVE, SUITE 101
LOS ANGELES, CA 90047
Los Angeles County (323) 778-6215
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Family Medicine
1704 W MANCHESTER AVE, SUITE 109
LOS ANGELES, CA 90047
Los Angeles County (323) 778-8485
HENRIETTA WILLIAMS CAADAC
Counselor (Addiction (Substance Use Disorder))
1704 W MANCHESTER AVE, # 205
LOS ANGELES, CA 90047
Los Angeles County (323) 751-0608
MR. POTENCIANO REYNOSO PAREDES M.D.
Pediatrics
1704 W MANCHESTER AVE, SUITE 101
LOS ANGELES, CA 90047
Los Angeles County (323) 778-6215
JAMES O. EZE
Durable Medical Equipment & Medical Supplies
1704 W MANCHESTER AVE, SUITE 204C
LOS ANGELES, CA 90047
Los Angeles County (323) 750-1817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Coast Medical Supply's NPI number?

The NPI number for Pacific Coast Medical Supply is 1053707182. It was assigned to this organization in the NPPES registry on April 15, 2015. The provider was formerly known as Gold Coast Diabetes.

Where is Pacific Coast Medical Supply located?

Pacific Coast Medical Supply is located at 1704 W Manchester Ave Suite 105, Los Angeles, CA 90047. The listed phone number is (562) 706-4552.

What is Pacific Coast Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Pacific Coast Medical Supply was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.