| Santos F. Pacheco Md Inc. | |
|
10719 S Inglewood Ave Suite A Inglewood CA 90304-1793 | |
| (310) 674-1115 | |
| (310) 674-0713 |
| Full Name | Santos F. Pacheco Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10719 S Inglewood Ave, Inglewood, California |
| Authorized Official Name and Position | Santos Flavio Pacheco (DOCTOR) |
| Authorized Official Contact | 3106741115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santos F. Pacheco Md Inc. 10719 S Inglewood Ave Suite A Inglewood CA 90304-1793 Ph: (310) 674-1115 | Santos F. Pacheco Md Inc. 10719 S Inglewood Ave Suite A Inglewood CA 90304-1793 Ph: (310) 674-1115 |
| NPI Number | 1417217928 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 2163686528 |
|---|---|
| Medicare Enrollment ID | O20120614000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417217928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54292 (California) | Primary |
| Provider Name | Santos F Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881765048 PECOS PAC ID: 5799949152 Enrollment ID: I20120614000636 |
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