Western Pacific Med. Corp.
Organization Active NPI Health Maintenance Organization · Ventura, CA
NPI 1043423213 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043423213
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- RI-O0510041352 (CA)
- Legal business name
- WESTERN PACIFIC MED. CORP.
- Practice address
- 955 E Thompson Blvd
Ventura, CA 93001 - Phone
- (805) 641-9100
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Hickman
- Title
- C.E.O.
- Phone
- (800) 223-3869
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Western Pacific Med-Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | RI-O0510041352 | CA | Yes |
Addresses
Primary practice location
955 E Thompson Blvd
Ventura, CA 93001
Mailing address
174 S Laurel St
Ventura, CA 93001
Other providers in Ventura, CA
- Western Dental Services, Inc.
- Western Neuroscience, Inc.
- Western Pacific Med-Corp
- Western Pacific Med. Corp
- Western Pacific Med. Corp
- Western Pacific Med. Corp.
- Western Pacific Med. Corp.
- Western Pacific Med.Corp
- Western Pacific.Med.Corp
- Matthew Westfall
All providers in Ventura, CA · Health Maintenance Organization in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.