Provider Demographics
NPI:1598876849
Name:HEIDI PARADELA-AYAP MD INC
Entity Type:Organization
Organization Name:HEIDI PARADELA-AYAP MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:PARADELA
Authorized Official - Last Name:AYAP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-347-8068
Mailing Address - Street 1:115 NORTH JACKSON AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1924
Mailing Address - Country:US
Mailing Address - Phone:408-347-8068
Mailing Address - Fax:408-347-8612
Practice Address - Street 1:115 NORTH JACKSON AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1924
Practice Address - Country:US
Practice Address - Phone:408-347-8068
Practice Address - Fax:408-347-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty