Sea Breeze Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103115 Issued in CA

Legal business name

SEA BREEZE MEDICAL SUPPLY

Practice address

1926 S Pacific Coast Hwy Ste 112
Redondo Beach, CA 90277-6149

Phone

(310) 944-3200

Fax

(310) 944-3208

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alfonso Palacios

Title

Owner

Phone

(310) 944-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033276647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 S PACIFIC COAST HWY STE 112",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776149",
            "telephone_number": "310-944-3200",
            "fax_number": "310-944-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 S PACIFIC COAST HWY STE 112",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776149",
            "telephone_number": "310-944-3200",
            "fax_number": "310-944-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-944-3200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03268F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Beth Schwarzmueller, LCSW
• Amie Nguyen Schweis, MD
• Scolinos Optometry Redondo Beach, Inc.
• Erin Kathleen Scott-Haines, LPCC, BC-DMT
• Beverly Jean Scott, MFT
• Sea Breeze Medical Supply Inc.
• Debra Seal, PT
• Sean Lynn, Individual and Family Therapy, Inc.
• Vianca Jennifer Sebastian
• Joseph Gerald Seclen

• Durable Medical Equipment & Medical Supplies in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.