Southern California Mobility

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTHERN CALIFORNIA MOBILITY

Practice address

18368 Enterprise LN
Huntington Beach, CA 92648-1201

Phone

(714) 596-9400

Fax

(714) 596-9500

NPI assigned

Sep 6, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy F. De Cou

Title

Administrator

Phone

(714) 596-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1356536999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4169",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926054169",
            "telephone_number": "714-596-9400",
            "fax_number": "714-596-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18368 ENTERPRISE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481201",
            "telephone_number": "714-596-9400",
            "fax_number": "714-596-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DE COU",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-596-9400"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tala Soukieh
• South Coast Behavioral Health (Dolphin House, LLC)
• South Coast Behavioral Health (Gemini House, LLC)
• South Coast DME
• South Coast Medical Supply
• Southern California Mobility Dynamics Inc
• Southern California Mobility Inc
• Southside Physical Therapy and Sports Center
• Carrin Francis Spalding, MA, OTR/L
• Alita Marie Spencer

• Customized Equipment (DME) in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.