| Nicole Pardo, Md, Inc | |
|
1341 Burnett Way Sacramento CA 95818-2221 | |
| (916) 407-4497 | |
| Not Available |
| Full Name | Nicole Pardo, Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1341 Burnett Way, Sacramento, California |
| Authorized Official Name and Position | Nicole Pardo (PSYCHIATRIST) |
| Authorized Official Contact | 9164074497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Pardo, Md, Inc Po Box 19931 Sacramento CA 95819-0931 Ph: () - | Nicole Pardo, Md, Inc 1341 Burnett Way Sacramento CA 95818-2221 Ph: (916) 407-4497 |
| NPI Number | 1861920241 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7810266426 |
|---|---|
| Medicare Enrollment ID | O20170712003087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861920241 | NPI | - | NPPES |
| 1083928212 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A122593 (California) | Primary |
| Provider Name | Nicole Pardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083928212 PECOS PAC ID: 0941518799 Enrollment ID: I20150929001178 |
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