Individual
REBECCA PACHECO FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 MARINA PACIFICA DR N # 21, LONG BEACH, CA 90803-3800
(800) 403-9981
Mailing address
PO BOX 50312, MESA, AZ 85208-0016
(480) 427-8283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
8130
AZ
363AM0700X
Medical Physician Assistant
Primary
PA63786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA63786
MEDICAL LICENSE
CA
Enumeration date
02/21/2020
Last updated
09/25/2024
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