Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Pacheco

Individual provider Rehabilitation Practitioner · NPI 1508411125

Desiree Pacheco is a Rehabilitation Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

12099 W Washington Blvd
Los Angeles, CA 90066-5882
Phone: (310) 751-1171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1508411125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

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