MEDICARE: PACIFIC COAST SERVICES INC.

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	251E00000X	Home Health Agency
2	385H00000X	Respite Care

General Provider Information

NPI Number	:	1851029938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACIFIC COAST SERVICES INC.

Provider Business Mailing Address
First Line	:	3202 W MARCH LN STE D
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-2351
Country	:	US
Telephone Number	:	877-956-2532
Fax Number	:	209-956-2585

Provider Business Practice Location Address
First Line	:	3202 W MARCH LN STE D
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-2351
Country	:	US
Telephone Number	:	877-956-2532
Fax Number	:	209-956-2585

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LETICIA ROBLES
Credential	:
Telephone Number	:	209-956-2532

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	10/23/2025

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Directions to “PACIFIC COAST SERVICES INC. ” Practice Location

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