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NPI Code Detail

MEDICARE: NANCY PACHECO-BYRD

MEDICARE: NANCY PACHECO-BYRD
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
11041C0700XClinical Social WorkerLCSW123021CA
21041C0700XClinical Social WorkerASW102745CA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1366058208
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY PACHECO-BYRD
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-3841
Fax Number : 213-241-3305
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-3841
Fax Number : 213-241-3305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2020
Last Update Date : 02/06/2026

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Directions to “ NANCY PACHECO-BYRD ” Practice Location

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