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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
1909 16TH ST STE 1, BAKERSFIELD, CA 93301-5004
(661) 381-6552
(661) 885-7994
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
332BC3200X
Customized Equipment (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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