Healthcare Provider Details

I. General information

NPI: 1457584682
Provider Name (Legal Business Name): FRANCES SUZANNE PACH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2009
Last Update Date: 12/23/2022
Certification Date: 12/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

500 SUPERIOR AVE STE 305
NEWPORT BEACH CA
92663-3660
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-8180
  • Fax: 949-764-8077
Mailing address:
  • Phone: 949-764-1843
  • Fax: 949-764-7398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3931
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95133420
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95006879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: