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Pacific Medical, Inc.
Prosthetic/Orthotic Supplier in Roseville, California
NPI 1265664023

Pacific Medical, Inc. is a Prosthetic/Orthotic Supplier based in Pasadena, CA. Pacific Medical, Inc. practices in Roseville, CA. The NPI Number for Pacific Medical, Inc. is 1265664023 and holds a License No. (California).

The current practice location address for Pacific Medical, Inc. is 1301 Secret Ravine Pkwy, Roseville, CA and can be reached out via phone at 916-788-0530 and via fax at 916-788-0553.

Location: 1301 Secret Ravine Pkwy, Roseville, CA, 91199-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265664023
Provider Name
Pacific Medical, Inc.
Credential
Provider Entity Type
Organization
Address
1301 Secret Ravine Pkwy, Roseville, CA, 91199-1616
Phone Number
916-788-0530
Fax Number
916-788-0553
Provider Enumeration Date
08/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0695470001 01 MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1301 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-3096
Phone Number
916-788-0530
Fax Number
916-788-0553
person
Provider Business Mailing Address Details
Address
1301 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-3096
Phone Number
916-788-0530
Fax Number
916-788-0553
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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