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

Individual provider Radiography Radiologic Technologist · NPI 1467825703

Jack Pavich is a Radiography Radiologic Technologist in Ben Lomond, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

9411 Sunnyside Ave
Ben Lomond, CA 95005-9345
Phone: (831) 252-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence RHF00105782 (CA)

Record details

NPI number1467825703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2015
Last updated in NPPESNovember 9, 2015