# PACIFIC MEDICAL, INC.

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

## Provider details

- **NPI number:** 1346735933
- **Authorized official:** MARK WEAVER (COO)
- **Authorized official phone:** (800) 723-9180

## Contact information

- **Practice address:** 1024 W ROBINHOOD DR STE 2, STOCKTON, CA 95207-5644
- **Practice address phone:** (209) 490-4515
- **Practice address fax:** (209) 227-8522
- **Mailing address:** 1700 N CHRISMAN RD, TRACY, CA 95304-9314
- **Mailing address phone:** (800) 726-9180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 06/26/2018