Individual
JOHN PAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031-3136
(213) 271-0100
Mailing address
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031-3136
(213) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035307
CA
Other
Enumeration date
11/29/2016
Last updated
10/01/2025
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