Provider Demographics
NPI:1578749271
Name:PAREDES, ROBERT R SR (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:R
Last Name:PAREDES
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:31411 CAMINO CAPISTRANO
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675
Mailing Address - Country:US
Mailing Address - Phone:949-493-4585
Mailing Address - Fax:949-493-0079
Practice Address - Street 1:31411 CAMINO CAPISTRANO
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675
Practice Address - Country:US
Practice Address - Phone:949-493-4585
Practice Address - Fax:949-493-0079
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
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Provider Licenses
StateLicense IDTaxonomies
CAA41527208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice