| Paredes Medical Corporation | |
|
49201 Grapefruit Blvd Ste 3 Coachella CA 92236-1479 | |
| (760) 514-2269 | |
| Not Available |
| Full Name | Paredes Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 49201 Grapefruit Blvd Ste 3, Coachella, California |
| Authorized Official Name and Position | Gustavo Adolfo Paredes (PRESIDENT) |
| Authorized Official Contact | 7605142269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paredes Medical Corporation 49201 Grapefruit Blvd Ste 3 Coachella CA 92236-1479 Ph: (760) 514-2269 | Paredes Medical Corporation 49201 Grapefruit Blvd Ste 3 Coachella CA 92236-1479 Ph: (760) 514-2269 |
| NPI Number | 1336918507 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 6901241041 |
|---|---|
| Medicare Enrollment ID | O20240229000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336918507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Gustavo A Paredes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164697173 PECOS PAC ID: 9234326117 Enrollment ID: I20101203000762 |
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