1336472703 NPI number — MR. DAVID RAYMOND PACE DAVID PACE, PT

Table of content: MR. DAVID RAYMOND PACE DAVID PACE, PT (NPI 1336472703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336472703 NPI number — MR. DAVID RAYMOND PACE DAVID PACE, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PACE
Provider First Name:
DAVID
Provider Middle Name:
RAYMOND
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
DAVID PACE, PT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PACE
Provider Other First Name:
DAVID
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DAVID PACE, PT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1336472703
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 AVENIDA MONTEREY APT 11
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN CLEMENTE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92672-4183
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-246-0415
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
231 AVENIDA MONTEREY APT 11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN CLEMENTE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92672-4183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-246-0415
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  14929 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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