Organization
PACIFICA ORTHOPEDICS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILE PAUL WAKIM MD (PRESIDENT)
(714) 841-5333
Entity
Organization
Contact information
Practice address
18800 DELAWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648-1959
(714) 841-5333
(714) 369-2083
Mailing address
18800 DELEWARE ST, SUITE 1100, HUNTINGTON BEACH, CA 92648
(714) 841-5333
(714) 841-5303
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
19041
CA
207X00000X
Orthopaedic Surgery Physician
Primary
20A4964
CA
207X00000X
Orthopaedic Surgery Physician
A94520
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A70813
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
20A8191
CA
2251X0800X
Orthopedic Physical Therapist
PT17708
CA
Other
Enumeration date
12/15/2006
Last updated
07/16/2023
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