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

Pacifica Neuropsychology Center

Organization Clinical Neuropsychologist · NPI 1962783951

Pacifica Neuropsychology Center provides Clinical Neuropsychologist services in San Pedro, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

461 W 6th St Ste 211
San Pedro, CA 90731-2694
Phone: (310) 547-0084
Fax: (310) 833-5672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY 19781 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFC 42200 (CA)

Record details

NPI number1962783951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisa Mares — Clinical Director · (310) 547-0084
NPI enumeratedSeptember 2, 2011
Last updated in NPPESJanuary 26, 2017
Mailing address461 W 6th St, Suite 211, San Pedro, CA 90731-2694

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