Organization
PACIFIC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (GENERAL COUNSEL/C.L.O.)
(800) 723-9180
Entity
Organization
Contact information
Practice address
2261 LAVA RIDGE CT, ROSEVILLE, CA 95661-3034
(916) 788-0530
(916) 788-0553
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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