Mario Antonio Pacada in Long Beach - Podiatrist

Mario Antonio Pacada - NPI 1114982535

Mario Antonio Pacada is a Podiatrist in Long Beach, California. Mario Antonio Pacada practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mario Antonio Pacada is 1114982535. The last update date is 2012-02-27.

Mario Antonio Pacada's current location address is Po Box 17999, Long Beach, California. You can contact this provider via phone number 5622090713 and fax number 5626840289. The mailing address for Mario Antonio Pacada is Po Box 17999, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mario Antonio Pacada
Address Po Box 17999, Long Beach, California
Phone Number 5622090713
Fax Number 5626840289
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1114982535
Provider Enumeration Date 2006-04-19
Last Updated Date 2012-02-27

Provider Mailing Address Detail

Address Po Box 17999
City Long Beach
State California (CA)
Post Code 908077999
Phone Number 5622090713
Fax Number 5626840289

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E4163
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4767035 CA --

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FAQs about Mario Antonio Pacada

What is the unique identifier code issued to Mario Antonio Pacada by the Centers for Medicare & Medicaid Services (CMS)?

The Mario Antonio Pacada has been assigned the NPI (National Provider Identifier) 1114982535. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Mario Antonio Pacada is located?

The Mario Antonio Pacada is situated at the following address: Po Box 17999, Long Beach, CA, 908077999.

What is Mario Antonio Pacada's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mario Antonio Pacada is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

When did Mario Antonio Pacada receive its 1114982535 assignment?

The Mario Antonio Pacada was assigned its 1114982535 on 2006-04-19, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mario Antonio Pacada last refreshed?

The information related to the Mario Antonio Pacada, including its address, specialty, and other relevant details, was last updated on 2012-02-27.

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