Provider Demographics
NPI:1841051232
Name:OCEAN PACIFIC COMPANIES, LLC
Entity type:Organization
Organization Name:OCEAN PACIFIC COMPANIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LUANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-282-8664
Mailing Address - Street 1:4150 MISSION BLVD STE 252
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5015
Mailing Address - Country:US
Mailing Address - Phone:858-282-8664
Mailing Address - Fax:
Practice Address - Street 1:4150 MISSION BLVD STE 252
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5015
Practice Address - Country:US
Practice Address - Phone:619-377-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit