Provider Demographics
NPI:1366627945
Name:PARONIAN, GREGOR (MD)
Entity Type:Individual
Prefix:
First Name:GREGOR
Middle Name:
Last Name:PARONIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1611
Mailing Address - Country:US
Mailing Address - Phone:626-696-3607
Mailing Address - Fax:626-412-8765
Practice Address - Street 1:1713 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1611
Practice Address - Country:US
Practice Address - Phone:626-696-3607
Practice Address - Fax:626-696-3907
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine