Provider Demographics
NPI:1295040335
Name:PASCUA, ERIC B (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:PASCUA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 CENTRAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2937
Mailing Address - Country:US
Mailing Address - Phone:951-684-2350
Mailing Address - Fax:951-684-5350
Practice Address - Street 1:4260 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2937
Practice Address - Country:US
Practice Address - Phone:951-684-2350
Practice Address - Fax:951-684-5350
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor