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Organization

WESTERN PACIFIC MED.CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK HICKMAN (C.E.O)
(800) 223-3869
Entity
Organization

Contact information

Practice address
955 E THOMPSON BLVD, VENTURA, CA 93001
(805) 641-9100
Mailing address
955 E THOMPSON BLVD, VENTURA, CA 93001

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PENDING
CA

Other

Enumeration date
05/07/2007
Last updated
08/22/2020
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