Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Coast Medical Supply

Organization Durable Medical Equipment & Medical Supplies · NPI 1053707182

Pacific Coast Medical Supply is a Durable Medical Equipment & Medical Supplies in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1704 W Manchester Ave Ste 105
Los Angeles, CA 90047-3063
Phone: (562) 706-4552
Fax: (877) 733-3462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (CA)

Record details

NPI number1053707182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carie Mortensen — Ceo/President · (562) 706-4552
Other names Gold Coast Diabetes
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 24, 2015
Mailing address218 Chicago Ave, Suite 8, Huntington Beach, CA 92648-5292

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