Provider Demographics
NPI:1386962850
Name:WEST COAST MEDICAL HEALTH, LLC
Entity type:Organization
Organization Name:WEST COAST MEDICAL HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:WARBINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-680-7439
Mailing Address - Street 1:2007 W PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4916
Mailing Address - Country:US
Mailing Address - Phone:602-680-7439
Mailing Address - Fax:602-680-7451
Practice Address - Street 1:2007 W PEORIA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4916
Practice Address - Country:US
Practice Address - Phone:602-680-7439
Practice Address - Fax:602-680-7451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-09
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies