Organization Name: | WESTERN PACIFIC MED. CORP |
NPI Number: | 1023221298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK HICKMAN (C.E.O.) |
Mailing Address: | 955 E Thompson Blvd Ventura |
State: | CA US |
Postal Code: | 93001 |
Phone Number: | 8056419100 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | RI-H0510041359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |