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Organization
PACIFICA HEALTH & WELLNESS CLINIC, INC.
Active
Organization
PACIFICA HEALTH & WELLNESS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE THUAN VU M.D. (OWNER/ MEDICAL DIRECTOR)
(714) 393-5800
Entity
Organization
Contact information
Practice address
5524 MISSION BLVD, RIVERSIDE, CA 92509-4515
(951) 248-9113
(951) 248-9115
Mailing address
5524 MISSION BLVD, RIVERSIDE, CA 92509-4515
(951) 248-9113
(951) 248-9115
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A64785
CA
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
PA10031
CA
363A00000X
Physician Assistant
PA16671
CA
Other
Enumeration date
11/25/2009
Last updated
09/22/2010
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