Provider Demographics
NPI:1760536213
Name:PASCOE, JAMES LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:PASCOE
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 1:1011 CAMINO DEL MAR
Mailing Address - Street 2:STE. 270
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2640
Mailing Address - Country:US
Mailing Address - Phone:858-481-7763
Mailing Address - Fax:858-481-1026
Practice Address - Street 1:1011 CAMINO DEL MAR
Practice Address - Street 2:STE. 270
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2640
Practice Address - Country:US
Practice Address - Phone:858-481-7763
Practice Address - Fax:858-481-1026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT82644Medicare UPIN