# PACIFICA HEALTH & WELLNESS CLINIC, INC.

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

## Provider details

- **NPI number:** 1538497813
- **Authorized official:** DR. STEVE THUAN VU M.D. (OWNER/ MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 393-5800

## Contact information

- **Practice address:** 5524 MISSION BLVD, RIVERSIDE, CA 92509-4515
- **Practice address phone:** (951) 248-9113
- **Practice address fax:** (951) 248-9115
- **Mailing address:** 5524 MISSION BLVD, RIVERSIDE, CA 92509-4515
- **Mailing address phone:** (951) 248-9113
- **Mailing address fax:** (951) 248-9115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | A64785 | CA | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | PA10031 | CA | — |
| 363A00000X | Physician Assistant | PA16671 | CA | — |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 09/22/2010