| Doctor Name: | GUSTAVO ADOLFO PAREDES |
| NPI Number: | 1164697173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17123 |
| Business Practice Address: | 500 S 7th Ave Suite B Barstow, CA - 923113056 |
| Business Phone Number: | 7602551074 |
| Business Fax Number: | 7602551022 |
| Mailing Address: | 18564 Outer Hwy 18, Suite 105 APPLE VALLEY |
| State: | CA |
| Postal Code: | 923072312 |
| Phone Number: | 7602427777 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2008 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |