# PACIFICA MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1790916997
- **Authorized official:** MR. CHUMA NWAKO (PRESIDENT)
- **Authorized official phone:** (310) 630-1600

## Contact information

- **Practice address:** 15238 CRENSHAW BLVD, GARDENA, CA 90249-4049
- **Practice address phone:** (310) 630-1600
- **Mailing address:** PO BOX 88121, LOS ANGELES, CA 90009-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 08/05/2009