NPI 1457838955

La Coast Pace, LLC

Organisation PACE Provider Organization Long Beach, CA

Practice location

Address: 1220 E 4th St, Long Beach, CA 90802-1831
Phone: (650) 741-0743
Mailing address: 405 El Camino Real # 248, Menlo Park, CA 94025-5240

Authorised official

Name: Clara Jaques
Title: Executive Director
Phone: (562) 206-1681

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1457838955
Entity type: Organization
NPI issued: 26 Jul 2018
Record last updated: 25 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.