# WESTERN PACIFIC MED. CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083827240
- **Authorized official:** MR. MARK HICKMAN (C.E.O.)
- **Authorized official phone:** (800) 223-3869

## Contact information

- **Practice address:** 955 E THOMPSON BLVD, VENTURA, CA 93001
- **Practice address phone:** (805) 641-9100
- **Practice address fax:** (805) 641-9040
- **Mailing address:** 342 E BOUNDS RD, VENTURA, CA 93001
- **Mailing address phone:** (805) 643-5767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | RI-P0510041347 | CA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020