Healthcare Provider Details

I. General information

NPI: 1508012584
Provider Name (Legal Business Name): LIZA PASCALE PT, ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 WALES DR
CARDIFF CA
92007-1508
US

IV. Provider business mailing address

6037 LA GRANADA C
RANCHO SANTA FE CA
92067
US

V. Phone/Fax

Practice location:
  • Phone: 415-577-1873
  • Fax:
Mailing address:
  • Phone: 858-771-1349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number34118
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: