Organization
PACIFIC PACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GEORGE (EXECUTIVE DIRECTOR)
(800) 851-0966
Entity
Organization
Contact information
Practice address
50 ALESSANDRO PL STE A20, PASADENA, CA 91105-3149
(626) 314-1411
Mailing address
440 N BARRANCA AVE # 4051, COVINA, CA 91723-1722
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
08/07/2023
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