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

Pacifica Medical Supply

Organization Durable Medical Equipment & Medical Supplies · NPI 1164619987

Pacifica Medical Supply is a Durable Medical Equipment & Medical Supplies in Laguna Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

24192 Mimosa Dr
Laguna Beach, CA 92677-7000
Phone: (949) 677-7523
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 · Licence 2756954 (CA)

Record details

NPI number1164619987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Polucha — Owner · (949) 677-7523
NPI enumeratedSeptember 25, 2007
Last updated in NPPESSeptember 25, 2007
Mailing address24192 Mimosa Dr, Laguna Beach, CA 92677-7000

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