Organization
PACIFIC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER JD (GENERAL COUNSEL)
(800) 726-9180
Entity
Organization
Contact information
Practice address
3240 LONE TREE WAY, ANTIOCH, CA 94509-5559
(800) 726-9180
(800) 861-5950
Mailing address
FILE 1616, 1801 W OLYMPIC BLVD, PASADENA, CA 91199-1616
(800) 726-9180
(800) 861-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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