Provider Demographics
NPI:1801024682
Name:PARAMOUNT PHYSICIANS HEALTH CENTER
Entity Type:Organization
Organization Name:PARAMOUNT PHYSICIANS HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGET
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-630-1220
Mailing Address - Street 1:16444 PARAMOUNT BLVD
Mailing Address - Street 2:101
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5422
Mailing Address - Country:US
Mailing Address - Phone:562-630-1220
Mailing Address - Fax:562-630-0701
Practice Address - Street 1:16444 PARAMOUNT BLVD
Practice Address - Street 2:101
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5422
Practice Address - Country:US
Practice Address - Phone:562-630-1220
Practice Address - Fax:562-630-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes209800000XAllopathic & Osteopathic PhysiciansLegal MedicineGroup - Multi-Specialty