Individual
DR. MARIO ANTONIO PACADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
501 E HARDY ST, INGLEWOOD, CA 90301-4054
(562) 209-0713
(562) 684-0289
Mailing address
PO BOX 17999, LONG BEACH, CA 90807-7999
(562) 209-0713
(562) 684-0289
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4767035
—
CA
Enumeration date
04/19/2006
Last updated
02/27/2012
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