Organization
PACIFIC MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (CLO)
(800) 723-9180
Entity
Organization
Contact information
Practice address
1111 W ROBINHOOD DR STE L, STOCKTON, CA 95207-5626
(209) 490-4515
(209) 227-8522
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
(209) 221-6113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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