Healthcare Provider Details

I. General information

NPI: 1033049671
Provider Name (Legal Business Name): MARK PASCHAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29775 HAUN RD
MENIFEE CA
92586-6540
US

IV. Provider business mailing address

28459 NAUTICAL POINT CIR
MENIFEE CA
92585-3302
US

V. Phone/Fax

Practice location:
  • Phone: 951-672-1851
  • Fax:
Mailing address:
  • Phone: 909-510-1217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: