Organization
PACIFICA FOUNDATION LLC.
Active
Other names
Pacifica Foundation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LONG (PRESIDENT)
(323) 913-4914
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE STE 407, LOS ANGELES, CA 90027-6086
(323) 913-4524
(323) 913-4826
Mailing address
1300 N VERMONT AVE STE 407, LOS ANGELES, CA 90027-6086
(323) 913-4524
(800) 245-0808
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
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
05/01/2026
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