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Contact Information

KEVIN PACHECO, DO
EDIFICIO ADRIATICO
BOULEVARD DENT
SAN PEDRO, SAN JOSE11501
 Phone: 506-719-6863
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KEVIN PACHECO · (Male)

NPI # 1881980704
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2011
Last updated 02/04/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 13342
  • NY License # 275486
  • TX License # T7323
Hospital affiliation(s)
  • AHMC ANAHEIM REGIONAL MEDICAL CENTER - (Acute Care)
    1111 W LA PALMA AVENUE
    ANAHEIM, CA 92801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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