| NPI | 1386352466 |
|---|---|
| Former Legal Business Name | PACIFICA FOUNDATION LLC |
| Entity Type | Organization |
| Authorized Contact | JAMIE YOO President 323-913-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-08-29 |