Western Pacific Med. Corp.
Health Maintenance Organization in Ventura, CA. Organization (NPI-2).
NPI number1083827240
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083827240
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Pacific Med. Corp.
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | RI-P0510041347 | CA | Yes |
Practice location
955 E Thompson BlvdVentura, CA 93001
Phone 805-641-9100 · Fax 805-641-9040
Mailing address
342 E Bounds RdVentura, CA 93001
Phone 805-643-5767
Authorized official
Mark Hickman
C.E.O.
8002233869
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All 9 Health Maintenance Organization providers in Ventura · All 5,428 providers in Ventura
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