Organization · Type 2 NPI

Pacifica Foundation Llc.

Adult Reconstructive Orthopaedic Surgery Physician · Los Angeles, CA

NPI number 1386352466 Active

Practice location

1300 N Vermont Ave Ste 407
Los Angeles, CA 90027-6086

Call (323) 913-4524 Map

Fax (323) 913-4826

Other practice locations

1300 N Vermont Ave Ste 100, Los Angeles, CA 90027-6098 · (323) 913-4300
600 N Garfield Ave Ste 106, Monterey Park, CA 91754-1168 · (626) 280-3781

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician	207RI0011X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Adult Reconstructive Orthopaedic Surgery Physician Primary	207XS0114X	None listed
Orthopaedic Surgery of the Spine Physician	207XS0117X	None listed

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

2 other providers at this address

Other adult reconstructive orthopaedic surgery physician providers in Los Angeles

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NPI record

NPI: 1386352466
Entity type: Organization (Type 2)
Issued: Nov 8, 2022
Last updated: May 1, 2026
Status: Active

Other names

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Pacifica Foundation LLC · former legal business name
Pacifica Foundation LLC · former legal business name

Authorized official

Douglas Long
President
(323) 913-4914

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386352466

Pacifica Foundation Llc.'s National Provider Identifier is 1386352466, issued on Nov 8, 2022. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Los Angeles, CA. The record was last updated on May 1, 2026.