Provider Demographics
NPI:1457395675
Name:PARAS, RAYMUNDO G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMUNDO
Middle Name:G
Last Name:PARAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60039
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-6039
Mailing Address - Country:US
Mailing Address - Phone:626-447-0296
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:16237 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2201
Practice Address - Country:US
Practice Address - Phone:818-995-5350
Practice Address - Fax:818-995-5032
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA32397207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A323970Medicaid
CAWA32397KMedicare PIN
CAWA32397Medicare ID - Type Unspecified
CAC20165Medicare UPIN
CAWA32397IMedicare PIN