Provider Demographics
NPI:1336763671
Name:PACADA, MISCHA LOREN (DC)
Entity Type:Individual
Prefix:DR
First Name:MISCHA
Middle Name:LOREN
Last Name:PACADA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-960 IWIKUAMOO ST UNIT 1008
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4893
Mailing Address - Country:US
Mailing Address - Phone:808-445-5477
Mailing Address - Fax:
Practice Address - Street 1:91-960 IWIKUAMOO ST UNIT 1008
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4893
Practice Address - Country:US
Practice Address - Phone:808-445-5477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor