MEDICARE: SOUTH COAST MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1366794778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH COAST MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	18351 BEACH BLVD STE G
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1347
Country	:	US
Telephone Number	:	714-847-0010
Fax Number	:	714-847-0017

Provider Business Practice Location Address
First Line	:	18351 BEACH BLVD STE G
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1347
Country	:	US
Telephone Number	:	714-847-0010
Fax Number	:	714-847-0017

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. ANTHONY MENARD
Credential	:
Telephone Number	:	714-847-0010

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

Similar Medicare Providers

1124140777 — MONARCH DIAGNOSTIC SERVICES, INC.
Practice Location Address:

18351 BEACH BLVD STE G
HUNTINGTON BEACH, CA
92648-1347

Practice Phone: 714-847-0010
Practice Fax: 714-847-0017

1437382744 — CATHERINE HEYMSFELD LCSW AND THE SEEDS OF POSITIVITY, PROF CORP
Practice Location Address:

18351 BEACH BLVD STE F
HUNTINGTON BEACH, CA
92648-1347

Practice Phone: 714-847-8417
Practice Fax:

1821538695 — PETERS CHIROPRACTIC CORPORATION
Practice Location Address:

18351 BEACH BLVD STE H
HUNTINGTON BEACH, CA
92648-1347

Practice Phone: 714-465-9173
Practice Fax: 714-908-8028

1891443222 — WEST COAST REHAB CENTER, MEDICAL CORPORATION
Practice Location Address:

18351 BEACH BLVD STE F
HUNTINGTON BEACH, CA
92648-1347

Practice Phone: 714-847-0010
Practice Fax: 714-847-0017

1770932915 — AGE IN PLACE HOME SERVICES LLC
Practice Location Address:

288 HOME ST
HUNTINGTON, IN
46750-1347

Practice Phone: 260-200-1407
Practice Fax: 260-200-1408

1154898401 — TRACY LYNN MANDEL
Practice Location Address:

288 HOME ST
HUNTINGTON, IN
46750-1347

Practice Phone: 260-200-1407
Practice Fax: 260-200-1408

Directions to “SOUTH COAST MEDICAL SUPPLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.