Provider Information for 1083081897
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LIGIA PACHECO PAZ
Sex: Female
NPI: 1083081897
Last Updated: 2021-12-08
Certification Date: 2020-05-11
Certification Date: 2020-05-11
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1083081897 | ||||||||||||||||||||
| Enumeration Date | 2015-08-27 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 3727 W 6TH ST STE 402 LOS ANGELES, CA 90020-5112 United States Phone: 213-365-7400 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 3727 W 6TH ST STE 402 LOS ANGELES, CA 90020-5112 United States Phone: 212-365-7400 | Fax: | ||||||||||||||||||||
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