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NPI Code Detail

MEDICARE: PACIFIC CLINICS

MEDICARE: PACIFIC CLINICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1740013721
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC CLINICS
Provider Business Mailing Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3556 ZANKER RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95134-2201
Country : US
Telephone Number : 669-369-4200
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER / PRESIDENT
Name : KATHRYN MCCARTHY
Credential :
Telephone Number : 408-379-3790
Provider Enumeration Date : 08/23/2024
Last Update Date : 08/23/2024

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Directions to “PACIFIC CLINICS ” Practice Location

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