Healthcare Provider Details

I. General information

NPI: 1558288340
Provider Name (Legal Business Name): CHRISTINE PACHECO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 E MAIN ST
SANTA MARIA CA
93454-4801
US

IV. Provider business mailing address

1415 E MAIN ST
SANTA MARIA CA
93454-4801
US

V. Phone/Fax

Practice location:
  • Phone: 805-922-1721
  • Fax: 805-928-8582
Mailing address:
  • Phone: 805-922-1721
  • Fax: 805-928-8582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: