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PACIFIC COAST MEDICAL SUPPLIES
NPI 1992947261
Durable Medical Equipment & Medical Supplies in Los Angeles, CA

Active since April 01, 2009
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 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Coast Medical Supplies NPPES

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

PACIFIC COAST MEDICAL SUPPLIES (NPI 1992947261), doing business as Gold Coast Diabetes Resource, Llc, is a healthcare organization registered as a durable medical equipment & medical supplies in Los Angeles, California and active in the NPI registry since April 2009. The organization lists Carie Frances Mortensen, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1992947261
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePACIFIC COAST MEDICAL SUPPLIES
Location Address1704 W. MANCHESTER AVE., SUITE 105Los Angeles, CA 90047-3327
Mailing Address218 Chicago Ave, Suite 8Huntington Beach, CA 92648 · (562) 706-4552 · Fax (877) 733-3462
Phone(562) 706-4552
Fax(877) 733-3462
Organization SubpartNo
Authorized OfficialCarie Frances MortensenCeo/president · (562) 706-4552
Enumeration DateApril 1, 2009
Last NPPES UpdateApril 29, 2015
✔ NPI 1992947261 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 Resource, Llc

Other Identifiers 1

Medicare NSC6449380001CA

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 Supplies's NPI number?

The NPI number for Pacific Coast Medical Supplies is 1992947261. It was assigned to this organization in the NPPES registry on April 1, 2009. The provider was formerly known as Gold Coast Diabetes Resource, LLC.

Where is Pacific Coast Medical Supplies located?

Pacific Coast Medical Supplies 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 Supplies'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 Supplies was last updated on April 29, 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.