Pacific Medical, INC.
Prosthetic/Orthotic Supplier in Roseville, CA. Organization (NPI-2).
NPI number1265664023
StatusActive
Last updated in NPPESFeb 4, 2015
Details
- NPI
- 1265664023
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Medical, INC.
- Organization subpart
- No
- Enumeration date
- Aug 12, 2009
- Last updated
- Feb 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Pacific Medical Prosthetics & Orthotics (Doing Business As)
Practice location
1301 Secret Ravine PkwySuite 100
Roseville, CA 95661-3096
Phone 916-788-0530 · Fax 916-788-0553
Mailing address
File 16161801 W Olympic Blvd
Pasadena, CA 91199-1616
Phone 800-726-9180 · Fax 800-861-5950
Authorized official
Mark Weaver
General Counsel
8007269180
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