Organization Active NPI

Sea Breeze Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Redondo Beach, CA
National Provider Identifier
1740316785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SEA BREEZE MEDICAL SUPPLY INC.
Practice address
1926 S Pacific Coast Hwy
Suite 112
Redondo Beach, CA 90277-6119
Phone
(310) 944-3200
Fax
(310) 944-9970
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfonso Francisco Palacios
Title
President
Phone
(310) 944-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1926 S Pacific Coast Hwy
Suite 112
Redondo Beach, CA 90277-6119

Mailing address

1926 S Pacific Coast Hwy
Suite 112
Redondo Beach, CA 90277-6119
Phone (310) 944-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740316785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 S PACIFIC COAST HWY",
            "address_2": "SUITE 112",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776119",
            "telephone_number": "310-944-3200",
            "fax_number": "310-944-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 S PACIFIC COAST HWY",
            "address_2": "SUITE 112",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776119",
            "telephone_number": "310-944-3200",
            "fax_number": "310-944-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-944-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • 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.