Healthcare Provider Details

I. General information

NPI: 1275463390
Provider Name (Legal Business Name): PATIENT HEALTH CONNECT REFERRAL & PLACEMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 WINDSTAR WAY
PALMDALE CA
93552-5840
US

IV. Provider business mailing address

4233 WINDSTAR WAY
PALMDALE CA
93552-5840
US

V. Phone/Fax

Practice location:
  • Phone: 818-835-6006
  • Fax: 662-572-2073
Mailing address:
  • Phone: 818-835-6006
  • Fax: 662-572-2073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DIEGO PASCUA
Title or Position: OWNER
Credential: RN
Phone: 818-835-6006