Individual
COREY PACHOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25201 PASEO DE ALICIA STE 110, LAGUNA HILLS, CA 92653-4627
(888) 805-0759
Mailing address
109 28TH ST, NEWPORT BEACH, CA 92663-3416
(626) 755-9745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996956482
UNITED HEALTHCARE
CA
Enumeration date
10/18/2022
Last updated
10/18/2022
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