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General NPI Number Information
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NPI Number | 1952275919
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Entity Type | Organization
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Legal Business Name | PACIFIC PROCEDURE CENTER
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1900 OFARRELL ST # 185
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City | SAN MATEO
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State | CA
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Zip | 94403-1386
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Country | US
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Telephone | 707-631-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 OFARRELL ST STE 185
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City | SAN MATEO
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State | CA
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Zip | 94403-1386
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Country | US
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Telephone | 707-631-0890
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATHERINE ALTONAGA
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Credential |
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Telephone | 707-631-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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