# PACIFIC MEDICAL, INC.

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

## Provider details

- **NPI number:** 1558778068
- **Authorized official:** MARK WEAVER JD (GENERAL COUNSEL)
- **Authorized official phone:** (800) 726-9180

## Contact information

- **Practice address:** 4554 BROAD ST, STE 110, SAN LUIS OBISPO, CA 93401-8712
- **Practice address phone:** (805) 783-2757
- **Practice address fax:** (866) 234-0866
- **Mailing address:** 1700 N CHRISMAN RD, TRACY, CA 95304-9314
- **Mailing address phone:** (805) 783-2757
- **Mailing address fax:** (866) 234-0866

## 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