Organization
PACIFICA ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WAKIM D.O.,F.A.A. ,OO.S. (MEDICAL DIRECTOR)
(714) 841-5333
Entity
Organization
Contact information
Practice address
18800 DELAWARE ST, SUITE 150, HUNTINGTON BEACH, CA 92648-1959
(714) 841-5333
(714) 841-5303
Mailing address
18800 DELAWARE ST, SUITE 150, HUNTINGTON BEACH, CA 92648-1959
(714) 841-5333
(714) 841-5303
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
19041
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
17911
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
20A4153
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
20A4685
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
20A4964
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
20A8191
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A29528
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A70813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17911
STATE LIC#
CA
01
—
20A4153
STATE LIC#
CA
01
—
20A4685
STATE LIC#
CA
01
—
20A4964
STATE LIC#
CA
01
—
20A8191
STATE LIC#
CA
01
—
A29528
STATE LIC#
CA
01
—
ZZZ05885Z
BLUE SHIELD ID
CA
Enumeration date
01/30/2006
Last updated
09/11/2025
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