| Organization Name: | PACIFIC CLINICS |
| NPI Number: | 1518283704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATY WELLS (PROGRAM DIRECTOR) |
| Mailing Address: | 13950 Milton Ave Westminster |
| State: | CALIFORNIA UM |
| Postal Code: | 92683 |
| Phone Number: | 7149014629 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2010 |
| NPI Last Update Date: | 04/13/2010 |
| 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. |