| Doctor Name: | MR. ROBERT R PAREDES |
| NPI Number: | 1578749271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A41527 |
| Business Practice Address: | 31411 Camino Capistrano Suite 100 San Juan Capistrano, CA - 92675 |
| Business Phone Number: | 9494934585 |
| Business Fax Number: | 9494930079 |
| Mailing Address: | 31411 Camino Capistrano, Suite 100 SAN JUAN CAPISTRANO |
| State: | CA |
| Postal Code: | 92675 |
| Phone Number: | 9494934585 |
| Fax Number: | 9494930079 |
| NPI Enumeration Date: | 01/14/2008 |
| NPI Last Update Date: | 01/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A41527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |