| Organization Name: | PACIFIC ACCOUNTABLE CARE NETWORK INC |
| NPI Number: | 1306253687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIPPE JEAN QUILICI (CEO) |
| Mailing Address: | 201 S Buena Vista St Suite 425 Burbank |
| State: | CA US |
| Postal Code: | 915054569 |
| Phone Number: | 8188488311 |
| Fax Number: | 8189539366 |
| NPI Enumeration Date: | 07/17/2014 |
| NPI Last Update Date: | 07/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |