Potenciano Reynoso Paredes in Los Angeles - Pediatrics

Potenciano Reynoso Paredes - NPI 1104856335

Potenciano Reynoso Paredes is a Pediatrics in Los Angeles, California. Potenciano Reynoso Paredes practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Potenciano Reynoso Paredes is 1104856335. The last update date is 2007-07-08.

Potenciano Reynoso Paredes's current location address is 1704 W Manchester Ave, Los Angeles, California. You can contact this provider via phone number 3237786215 and fax number 3237786312. The mailing address for Potenciano Reynoso Paredes is 1704 W Manchester Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Potenciano Reynoso Paredes
Address 1704 W Manchester Ave, Los Angeles, California
Phone Number 3237786215
Fax Number 3237786312
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104856335
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1704 W Manchester Ave
City Los Angeles
State California (CA)
Post Code 900473034
Phone Number 3237786215
Fax Number 3237786312

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A82810
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A828100 CA --

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FAQs about Potenciano Reynoso Paredes

What is the unique identification code assigned to Potenciano Reynoso Paredes by the Centers for Medicare & Medicaid Services?

The Potenciano Reynoso Paredes has been issued the NPI (National Provider Identifier) 1104856335. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Potenciano Reynoso Paredes is located?

The Potenciano Reynoso Paredes is situated at the following address: 1704 W Manchester Ave, Los Angeles, CA, 900473034.

What is the area of specialization for Potenciano Reynoso Paredes, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Potenciano Reynoso Paredes is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Potenciano Reynoso Paredes receive the assignment of its 1104856335 from the Centers for Medicare & Medicaid Services?

The Potenciano Reynoso Paredes was issued its 1104856335 by the Centers for Medicare & Medicaid Services on 2006-07-04.

When was the information related to Potenciano Reynoso Paredes most recently updated or refreshed?

The details pertaining to the Potenciano Reynoso Paredes, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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