Individual
DR. SANTOS FLAVIO PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15159 PRAIRIE AVE, LAWNDALE, CA 90260-2210
(310) 644-7964
(310) 644-7989
Mailing address
15159 PRAIRIE AVE, LAWNDALE, CA 90260-2210
(310) 644-7964
(310) 644-7989
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A54292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A542920
—
CA
05
—
00A542922
—
CA
Enumeration date
11/10/2006
Last updated
02/24/2012
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