Organization
PACIFICA HEALTH MEDICAL GROUP PC
Active
Organization
PACIFICA HEALTH MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THOMAS LONG MD (CEO)
(323) 913-4300
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE STE 100, LOS ANGELES, CA 90027-6098
(323) 913-4300
(800) 309-4918
Mailing address
1300 N VERMONT AVE STE 407, LOS ANGELES, CA 90027-6086
(323) 913-4524
(800) 245-0408
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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