South Coast Fitter, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

55970 Issued in CA

Legal business name

SOUTH COAST FITTER, LLC

Practice address

3334 E Coast Hwy
Suite 278
Corona del Mar, CA 92625-2328

Phone

(323) 605-4101

Fax

(702) 476-0720

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Stacie Beth Greenspan

Title

Partner

Phone

(323) 605-4101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1699043596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 278",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "323-605-4101",
            "fax_number": "702-476-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 278",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "323-605-4101",
            "fax_number": "702-476-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST FITTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "323-605-4101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "55970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lee Howard Solow, PH.D.
• South Coast Outpatient Surg Ctr Balboa Surgery Center
• Andrew W Spath, DDS
• Devan Stetson
• Barry Sussman, M.D.
• Stephen Sutherland, M.D.

• Durable Medical Equipment & Medical Supplies in Corona del Mar, CA
• Providers in Corona del Mar, 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 Dec 6, 2011; 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.