LEA MARIE PACE PA NPI 1710211180

NPI Information

  • NPI: 1710211180
  • Provider Name: LEA MARIE PACE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4452 PARK BLVD STE 306
    SAN DIEGO, CA
    ZIP 92116
  • Phone: (619) 206-4232

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NPI Details

Lea Marie Pace, PA is a medical physician assistant in San Diego, CA. Lea Marie Pace, PA NPI is 1710211180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4452 PARK BLVD STE 306
SAN DIEGO, CA
ZIP 92116-049
Phone: (619) 206-4232

The NPI 1710211180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 11/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant10001128AINDIANANo
2363AM0700XPhysician AssistantMedicalPA21171CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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