Healthcare Provider Details

I. General information

NPI: 1174786875
Provider Name (Legal Business Name): LEA LYNETTE PASCUAL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US

IV. Provider business mailing address

1727 W 158TH ST
GARDENA CA
90247-3742
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-6747
  • Fax: 661-829-6937
Mailing address:
  • Phone: 310-200-3443
  • Fax: 310-329-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number17819
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: