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

Pacific Health Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1639975113

Pacific Health Supply LLC is a Durable Medical Equipment & Medical Supplies in LA Jolla, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4225 Executive Sq Ste 600
LA Jolla, CA 92037-1484
Phone: (858) 222-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1639975113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saad Abdrabou Abdelra Metwally — Owner · (858) 222-3560
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 24, 2025
Mailing address4225 Executive Sq Ste 600, La Jolla, CA 92037-1484

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