Healthcare Provider Details

I. General information

NPI: 1023536489
Provider Name (Legal Business Name): NORMA S PACHUCA CAT- C1
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10210 ORR AND DAY RD STE B
SANTA FE SPRINGS CA
90670-3581
US

IV. Provider business mailing address

11100 VALLEY BLVD STE 116
EL MONTE CA
91731-2533
US

V. Phone/Fax

Practice location:
  • Phone: 562-348-0083
  • Fax:
Mailing address:
  • Phone: 626-444-0705
  • Fax: 626-444-0710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT148212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: