Organization Name: | PACIFIC CLINICS |
NPI Number: | 1518230580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA ORTEGA (SUPERVISOR) |
Mailing Address: | 9047 Arrow Rte Ste 170 Rancho Cucamonga |
State: | CA US |
Postal Code: | 917304434 |
Phone Number: | 9094668696 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2012 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |