# PACIFICA ORTHOPEDICS MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1558423418
- **Authorized official:** DR. EMILE PAUL WAKIM MD (PRESIDENT)
- **Authorized official phone:** (714) 841-5333

## Contact information

- **Practice address:** 18800 DELAWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648-1959
- **Practice address phone:** (714) 841-5333
- **Practice address fax:** (714) 369-2083
- **Mailing address:** 18800 DELEWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648
- **Mailing address phone:** (714) 841-5333
- **Mailing address fax:** (714) 841-5303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 19041 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | 20A4964 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | A94520 | CA | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | A70813 | CA | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 20A8191 | CA | — |
| 2251X0800X | Orthopedic Physical Therapist | PT17708 | CA | — |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 07/16/2023