Provider Demographics
NPI:1558491522
Name:PARADO, REX JOWELL LIM (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:REX JOWELL
Middle Name:LIM
Last Name:PARADO
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 S ROSEMEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4942
Mailing Address - Country:US
Mailing Address - Phone:626-577-5624
Mailing Address - Fax:626-577-5619
Practice Address - Street 1:275 S ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4942
Practice Address - Country:US
Practice Address - Phone:626-577-5624
Practice Address - Fax:626-577-5619
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice