Mr. Potenciano Reynoso Paredes
M.D. | Pediatrics | Male
Mr. Potenciano Reynoso Paredes, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Potenciano Reynoso Paredes is
1704 W Manchester Ave, Suite 101, Los Angeles, California - 90047-3034. He can be contacted on phone at
323-778-6215 and fax number 323-778-6312.
Mr. Potenciano Reynoso Paredes is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Potenciano Reynoso Paredes is
1104856335 which was assigned by NPPES on 04 Jul, 2006 and it was last updated on 08 Jul, 2007.
Mr. Potenciano Reynoso Paredes license number is
A82810 for Pediatrics (208000000X) in California.
Mr. Potenciano Reynoso Paredes is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Potenciano Reynoso Paredes basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Potenciano Reynoso Paredes |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mr. Potenciano Reynoso Paredes address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1704 W Manchester Ave, Suite 101
Los Angeles, CA, 90047-3034
United States |
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| Phone Number : | 323-778-6215 |
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| Fax Number : | 323-778-6312 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104856335 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Potenciano Reynoso Paredes are as mentioned. Primary taxonomy code for Mr. Potenciano Reynoso Paredes, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A82810 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Potenciano Reynoso Paredes such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A828100 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1704 W Manchester Ave, Suite 101
Los Angeles, CA, 90047-3034
United States |
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| Phone Number : | 323-778-6215 |
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| Fax Number : | 323-778-6312 |
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Business Location:
Patients can refer following map for directions to
Mr. Potenciano Reynoso Paredes practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.