# PACIFIC MEDICAL, INC.

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

## Provider details

- **NPI number:** 1437566940
- **Authorized official:** MARK WEAVER JD (GENERAL COUNSEL)
- **Authorized official phone:** (800) 726-9180

## Contact information

- **Practice address:** 200 MONTGOMERY DR, STE A, SANTA ROSA, CA 95404-6633
- **Practice address phone:** (707) 843-4654
- **Practice address fax:** (707) 546-3045
- **Mailing address:** 1700 N CHRISMAN RD, TRACY, CA 95304-9314
- **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 |

## Other

- **Enumeration date:** 07/16/2014
- **Last updated:** 07/16/2014