# CENTURY PACIFIC MEDICAL, INC.

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

## Provider details

- **NPI number:** 1437406683
- **Authorized official:** VICTOR NODTVEDT (OWNER)
- **Authorized official phone:** (949) 360-7242

## Contact information

- **Practice address:** 115 GAUGUIN CIR, ALISO VIEJO, CA 92656-3878
- **Practice address phone:** (800) 239-4119
- **Practice address fax:** (866) 528-9127
- **Mailing address:** PO BOX 1419, LAKE FOREST, CA 92609-1419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | CA | — |
| 333600000X | Pharmacy | — | CA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | CA | — |
| 3416L0300X | Land Ambulance | — | CA | — |
| 343800000X | Secured Medical Transport (VAN) | — | CA | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | CA | — |
| 347C00000X | Private Vehicle | — | CA | — |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 04/08/2021