Provider Demographics
NPI:1982850715
Name:PACIFICA HEALTH AND MEDICAL
Entity Type:Organization
Organization Name:PACIFICA HEALTH AND MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-688-1848
Mailing Address - Street 1:2650 CAMINO DEL RIO N
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1621
Mailing Address - Country:US
Mailing Address - Phone:619-688-1848
Mailing Address - Fax:619-688-1898
Practice Address - Street 1:2650 CAMINO DEL RIO N
Practice Address - Street 2:SUITE 212
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1621
Practice Address - Country:US
Practice Address - Phone:619-688-1848
Practice Address - Fax:619-688-1898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health