MEDICARE: ARMANDO PACHECO M.D.

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	207Q00000X	Family Medicine Physician	G77249	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00267858	OTHER	GA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G772490	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336198605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMANDO PACHECO M.D.

Provider Business Mailing Address
First Line	:	5823 YORK BLVD STE 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-2634
Country	:	US
Telephone Number	:	323-255-5643
Fax Number	:	323-254-2158

Provider Business Practice Location Address
First Line	:	5823 YORK BLVD STE 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-2634
Country	:	US
Telephone Number	:	323-255-1575
Fax Number	:	323-254-2158

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

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	01/11/2018

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Directions to “ ARMANDO PACHECO M.D.” Practice Location

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