MEDICARE: ELAINE JOY PAMBAGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1275291049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE JOY PAMBAGO

Provider Business Mailing Address
First Line	:	1275 VIA CONTESSA
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92069-7365
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 S EL CAMINO REAL
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6306
Country	:	US
Telephone Number	:	619-782-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2021
Last Update Date	:	03/25/2026

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Directions to “ ELAINE JOY PAMBAGO ” Practice Location

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