Organization · NPI-2
Pacific Medical, INC.
Prosthetic/Orthotic Supplier · Roseville, CA
NPI number1407745649
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1407745649
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Medical, INC.
- Organization subpart
- No
- Enumeration date
- Jul 1, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
2261 Lava Ridge CtRoseville, CA 95661-3034
Phone 916-788-0530 · Fax 916-788-0553
Mailing address
1700 N Chrisman RdTracy, CA 95304-9314
Phone 800-726-9180
Authorized official
Mark Weaver
General Counsel/C.L.O.
8007239180
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