Individual
MRS. CAROLINA PEDACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5871
(909) 980-6700
(909) 557-2146
Mailing address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691-6468
(909) 980-6700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-GPIVQJ
CA
372600000X
Adult Companion
—
—
Other
Enumeration date
01/10/2019
Last updated
05/22/2025
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