| NPI | 1134389893 |
|---|---|
| Doing Business As | PACIFIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN PAYTON Program Aide 213-639-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |