Organization
JON G PACE, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON G PACE M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(800) 883-7243
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A68757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A687570
—
CA
01
—
1245291244
NPI TYPE - 1
—
Enumeration date
09/28/2006
Last updated
08/22/2020
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