Individual
ANGELICA ADILENE RODRIGUEZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41820 GARSTIN DRIVE, BIG BEAR LAKE, CA 92315
(909) 878-2326
Mailing address
PO BOX 6609, BIG BEAR LAKE, CA 92315-6609
(909) 878-2326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
MPSS-VOCWHM
CA
Other
Enumeration date
10/05/2023
Last updated
01/12/2026
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