Provider Demographics
NPI:1083485809
Name:PACHAS, ARIELLE J
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:J
Last Name:PACHAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 E 4TH ST STE 230A
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3853
Mailing Address - Country:US
Mailing Address - Phone:714-777-5540
Mailing Address - Fax:714-648-0508
Practice Address - Street 1:2101 E 4TH ST STE 230A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3853
Practice Address - Country:US
Practice Address - Phone:714-777-5540
Practice Address - Fax:714-648-0508
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator