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NPI Code Detail

MEDICARE: ELGA PAQUET

MEDICARE: ELGA PAQUET
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
1103TS0200XSchool PsychologistCA

General Provider Information

NPI Number : 1356272082
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELGA PAQUET
Provider Business Mailing Address
First Line : 25021 RIDGEMOOR RD
Second Line :
City : MENIFEE
State : CA
Zip : 92586-2699
Country : US
Telephone Number : 909-838-7812
Fax Number :
Provider Business Practice Location Address
First Line : 29775 HAUN RD
Second Line :
City : MENIFEE
State : CA
Zip : 92586-6540
Country : US
Telephone Number : 951-672-1851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ELGA PAQUET ” Practice Location

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