Paradise Medical Group, Inc. in Paradise - Medical

Paradise Medical Group, Inc. - NPI 1235111006

Paradise Medical Group, Inc. is a Medical in Paradise, California. Paradise Medical Group, Inc. practices all healthcare services and medical treatments related to Medical. The NPI Number for Paradise Medical Group, Inc. is 1235111006. The last update date is 2012-01-11.

Paradise Medical Group, Inc.'s current location address is 6470 Pentz Rd, Paradise, California. You can contact this provider via phone number 5308726650 and fax number 5308726653. The mailing address for Paradise Medical Group, Inc. is 6470 Pentz Rd, Paradise, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Paradise Medical Group, Inc.
Address 6470 Pentz Rd, Paradise, California
Phone Number 5308726650
Fax Number 5308726653
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Thorp E. Richard
Credentials M.D.
Telephone Number 5308726650

NPI Number Detail

NPI Number 1235111006
Provider Enumeration Date 2005-11-17
Last Updated Date 2012-01-11

Provider Mailing Address Detail

Address 6470 Pentz Rd
City Paradise
State California (CA)
Post Code 959693674
Phone Number 5308726650
Fax Number 5308726653

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ21920Z CA BLUE SHIELD

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FAQs about Paradise Medical Group, Inc.

What is the unique 10-digit identification code assigned to Paradise Medical Group, Inc. by the Centers for Medicare & Medicaid Services?

The Paradise Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1235111006, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Paradise Medical Group, Inc.'s facilities are situated?

The facilities of Paradise Medical Group, Inc. are physically located at the following address: 6470 Pentz Rd, Paradise, CA, 959693674.

What is Paradise Medical Group, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paradise Medical Group, Inc. is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Paradise Medical Group, Inc. receive its 1235111006 assignment from the Centers for Medicare & Medicaid Services?

The Paradise Medical Group, Inc. was assigned its 1235111006 by the Centers for Medicare & Medicaid Services on 2005-11-17.

As of what date was the information pertaining to Paradise Medical Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Paradise Medical Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-11.

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