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General NPI Number Information
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NPI Number | 1346176682
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Entity Type | Organization
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Legal Business Name | SOUTH COAST MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 525 OLIVE ST APT 204
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City | SAN DIEGO
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State | CA
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Zip | 92103-6312
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Country | US
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Telephone | 213-559-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 525 OLIVE ST APT 204
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City | SAN DIEGO
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State | CA
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Zip | 92103-6312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY DELGADO
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Credential |
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Telephone | 909-377-9172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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