Organization
PACIFIC MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E FARLOW (CHIEF OPERATING OFFICER)
(760) 294-8527
Entity
Organization
Contact information
Practice address
40 VIA CARTAMA, SAN CLEMENTE, CA 92673-6998
(888) 277-2957
(888) 277-2957
Mailing address
2652 MOUNTAIN VIEW DR, ESCONDIDO, CA 92027-4933
(760) 294-8527
(888) 277-2957
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/31/2007
Last updated
11/06/2007
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