# PACIFICA PRIMARY CARE MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1134014368
- **Authorized official:** DR. JULIE BOLTON DO (PRESIDENT)
- **Authorized official phone:** (562) 832-7662

## Contact information

- **Practice address:** 16400 PACIFIC COAST HWY STE 220, HUNTINGTON BEACH, CA 92649-1823
- **Practice address phone:** (562) 832-7662
- **Practice address fax:** (714) 948-5720
- **Mailing address:** 16400 PACIFIC COAST HWY STE 220, HUNTINGTON BEACH, CA 92649-1823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2025
- **Last updated:** 07/28/2025