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General NPI Number Information
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NPI Number | 1740251594
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Entity Type | Organization
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Legal Business Name | PACIFICA ORTHOPEDICS
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 18800 DELAWARE ST SUITE 150
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1959
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Country | US
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Telephone | 714-841-5333
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Fax | 714-841-5303
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Provider Business Mailing Address
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Address Line | 18800 DELAWARE ST SUITE 150
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1959
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Country | US
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Telephone | 714-841-5333
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Fax | 714-841-5303
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PAUL WAKIM
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Credential | D.O.,F.A.A. ,OO.S.
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Telephone | 714-841-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 19041
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 20A4964
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 20A4685
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 20A4153
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | A70813
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 17911
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | A29528
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 20A8191
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License Number State | CA
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