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PACIFICA MEDICAL SUPPLY
NPI 1164619987
Durable Medical Equipment & Medical Supplies in Laguna Beach, CA

Active since September 25, 2007
24192 MIMOSA DR, LAGUNA BEACH, CA 92677(949) 677-7523 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacifica Medical Supply NPPES

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

PACIFICA MEDICAL SUPPLY (NPI 1164619987) is a healthcare organization registered as a durable medical equipment & medical supplies in Laguna Beach, California and active in the NPI registry since September 2007. The organization lists Kevin Polucha, Owner, as its authorized official.

NPPES Registry Identity

NPI1164619987
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePACIFICA MEDICAL SUPPLY
Location Address24192 MIMOSA DRLaguna Beach, CA 92677-7000
Mailing Address24192 Mimosa DrLaguna Beach, CA 92677-7000 · (949) 677-7523
Phone(949) 677-7523
Organization SubpartNo
Authorized OfficialKevin PoluchaOwner · (949) 677-7523
Enumeration DateSeptember 25, 2007
✔ NPI 1164619987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 2756954
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.
24192 MIMOSA DR, Laguna Beach, CA 92677
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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 Pacifica Medical Supply's NPI number?

The NPI number for Pacifica Medical Supply is 1164619987. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Pacifica Medical Supply located?

Pacifica Medical Supply is located at 24192 Mimosa Dr, Laguna Beach, CA 92677. The listed phone number is (949) 677-7523.

What is Pacifica 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 Pacifica Medical Supply was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.