| Pacifica Orthopedics Medical Corporation | |
|
18800 Delaware St Suite 1100 Huntington Beach CA 92648-1959 | |
| (714) 841-5333 | |
| Not Available |
| Full Name | Pacifica Orthopedics Medical Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 18800 Delaware St, Huntington Beach, California |
| Authorized Official Name and Position | Paul Wakim (OWNER) |
| Authorized Official Contact | 7148415333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Orthopedics Medical Corporation 18800 Delaware St Suite 1100 Huntington Beach CA 92648-1959 Ph: (714) 841-5333 | Pacifica Orthopedics Medical Corporation 18800 Delaware St Suite 1100 Huntington Beach CA 92648-1959 Ph: (714) 841-5333 |
| NPI Number | 1720273923 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720273923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY20017 (California) | Primary |
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