MEDICARE: CESAR PARDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1104639889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR PARDO

Provider Business Mailing Address
First Line	:	679 S NEW HAMPSHIRE AVE FL 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	626-254-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 S NEW HAMPSHIRE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	626-254-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	02/19/2026

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Directions to “ CESAR PARDO ” Practice Location

Language	Start Address	Practice Location

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