Provider Demographics
NPI:1336698380
Name:PAREDES, ERIK VELASQUEZ
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:VELASQUEZ
Last Name:PAREDES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 S G ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-6043
Mailing Address - Country:US
Mailing Address - Phone:805-946-5226
Mailing Address - Fax:
Practice Address - Street 1:2055 SAVIERS RD STE 9101112
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-3608
Practice Address - Country:US
Practice Address - Phone:818-206-0371
Practice Address - Fax:818-206-0370
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health