Physician Compare National (NPI:1891857405)

HEALTHCARE PROVIDER: PAUL EMILE WAKIM D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891857405
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103853825
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050725000242
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WAKIM
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PACIFICA ORTHOPEDICS MEDICAL CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446208375
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	18800 DELAWARE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1100
	Group Practice or individual's line 2 address
City	HUNTINGTON BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926486021
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7148415333
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y