Julissa Pacheco-Pena
Student in an Organized Health Care Education/Training Program in Culver City, CA. Individual provider (NPI-1).
NPI number1497429112
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1497429112
- Entity type
- Individual (NPI-1)
- Name
- Julissa Pacheco-Pena
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2021
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone 310-390-6612 · Fax 310-398-5690
Mailing address
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone 310-390-6612 · Fax 310-398-5690
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All 285 Student in an Organized Health Care Education/Training Program providers in Culver City · All 4,436 providers in Culver City
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