DR. SANTOS FLAVIO PACHECO


Address: 15159 Prairie Ave, Lawndale, CA 90260-2210
Phone: 3106447964

DR. SANTOS FLAVIO PACHECO (NPI# 1881765048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881765048
Entity Type Individual
Full Name DR. SANTOS FLAVIO PACHECO
Credential M.D.
Practice Address 15159 Prairie Ave
Lawndale
CA 90260-2210
Practice Telephone 3106447964
Practice Fax Number 3106447989
Mailing Telephone 3106447964
Mailing Fax Number 3106447989
Enumeration Date 2006-11-10
Last Update Date 2012-02-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice A54292 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A542922 05
CA 00A542920 05

Office Location

Street Address 15159 PRAIRIE AVE
City LAWNDALE
State CA
Zip Code 90260-2210

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City LAWNDALE
Zip Code 90260

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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