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NPI Code Detail

MEDICARE: MATTHEW LOPEZ PACHECO

MEDICARE: MATTHEW LOPEZ PACHECO
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 Worker136519CA

General Provider Information

NPI Number : 1609207570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW LOPEZ PACHECO
Provider Business Mailing Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 760-946-5020
Fax Number :
Provider Business Practice Location Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 760-946-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2013
Last Update Date : 01/20/2026

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Directions to “ MATTHEW LOPEZ PACHECO ” Practice Location

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