| NPI | 1386352466 |
|---|---|
| Former Legal Business Name | PACIFICA FOUNDATION LLC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LONG President 323-913-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-05-01 |