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PACIFIC HEALTH SUPPLY LLC
NPI 1639975113
Durable Medical Equipment & Medical Supplies in La Jolla, CA

Active since February 24, 2025
4225 EXECUTIVE SQ, STE 600, LA JOLLA, CA 92037(858) 222-3560 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Health Supply Llc NPPES

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

PACIFIC HEALTH SUPPLY LLC (NPI 1639975113) is a healthcare organization registered as a durable medical equipment & medical supplies in La Jolla, California and active in the NPI registry since February 2025. The organization lists Saad Abdrabou Abdelra Metwally, Owner, as its authorized official.

NPPES Registry Identity

NPI1639975113
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePACIFIC HEALTH SUPPLY LLC
Location Address4225 EXECUTIVE SQ, STE 600La Jolla, CA 92037-1484
Mailing Address4225 Executive Sq Ste 600La Jolla, CA 92037-1484 · (858) 222-3560
Phone(858) 222-3560
Organization SubpartNo
Authorized OfficialSaad Abdrabou Abdelra MetwallyOwner · (858) 222-3560
Enumeration DateFebruary 24, 2025
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1639975113 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.
4225 EXECUTIVE SQ, La Jolla, CA 92037
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Other Providers at the Same Location NPPES 8

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

FULLER PSYCHOLOGY CORPORATION
Psychologist (Clinical)
4225 EXECUTIVE SQ, SUITE 1110
LA JOLLA, CA 92037
San Diego County (858) 558-7707
DR. DENISE LYNN HAWKINSON PH.D.
Psychologist (Clinical)
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 558-8535
KARA EHRHARDT
Registered Nurse (Medical-Surgical)
4225 EXECUTIVE SQ
LA JOLLA, CA 92037
San Diego County (858) 275-2108
DR. MARY ANN SCHIFFMAN MFT
Counselor (Mental Health)
4225 EXECUTIVE SQ, SUITE 1110
LA JOLLA, CA 92037
San Diego County (858) 452-1350
DENISE HAWKINSON, PH.D., PSYCHOLOGIST, INC.
Psychologist (Clinical)
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 558-8535
DR. DON TOBIN WATKINSON D.C.
Chiropractor
4225 EXECUTIVE SQ, SUITE 385
LA JOLLA, CA 92037
San Diego County (858) 909-0898
DR. RUSSELL F FULLER I PSY.D.
Psychologist (Clinical)
4225 EXECUTIVE SQ, SUITE 1110
LA JOLLA, CA 92037
San Diego County (858) 558-7707
MS. SUSAN M JORGENSEN MFT
Marriage & Family Therapist
4225 EXECUTIVE SQ, #1110
LA JOLLA, CA 92037
San Diego County (858) 622-0632

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 Health Supply LLC's NPI number?

The NPI number for Pacific Health Supply LLC is 1639975113. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Pacific Health Supply LLC located?

Pacific Health Supply LLC is located at 4225 Executive Sq Ste 600, La Jolla, CA 92037. The listed phone number is (858) 222-3560.

What is Pacific Health Supply LLC'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 Health Supply LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.