Provider Demographics
NPI:1619324084
Name:PAREDES, JOSHUA DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:PAREDES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-6600
Mailing Address - Country:US
Mailing Address - Phone:562-596-1657
Mailing Address - Fax:562-799-3853
Practice Address - Street 1:600 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740
Practice Address - Country:US
Practice Address - Phone:562-596-1657
Practice Address - Fax:562-799-3853
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor