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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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760527634
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC CLINICS
Provider Business Mailing Address
First Line : 800 S SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-6853
Country : US
Telephone Number : 626-254-5000
Fax Number : 626-294-1077
Provider Business Practice Location Address
First Line : 11731 TELEGRAPH RD STE G
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6819
Country : US
Telephone Number : 562-942-8256
Fax Number : 562-942-9789
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : JAMES J. BALLA
Credential :
Telephone Number : 626-254-5000
Provider Enumeration Date : 02/20/2007
Last Update Date : 09/23/2021

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Directions to “PACIFIC CLINICS ” Practice Location

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