# PACIFIC MEDICAL, INC.

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

## Provider details

- **NPI number:** 1356599591
- **Authorized official:** MARK L. WEAVER (GENERAL COUNSEL/C.O.O.)
- **Authorized official phone:** (800) 726-9180

## Contact information

- **Practice address:** 1335 COFFEE RD, SUITE 210, MODESTO, CA 95355-3188
- **Practice address phone:** (209) 524-3113
- **Practice address fax:** (209) 524-3254
- **Mailing address:** FILE 1616, 1801 W OLYMPIC BLVD, PASADENA, CA 91199-1616
- **Mailing address phone:** (800) 726-9180
- **Mailing address fax:** (800) 861-5950

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 03/10/2014