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Organization
PARADISE VALLEY MEDICAL GROUP, INC.
Active
Organization
PARADISE VALLEY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREM REDDY M.D. (PRESIDENT)
(619) 470-4115
Entity
Organization
Contact information
Practice address
655 EUCLID AVE, NATIONAL CITY, CA 91950-2957
(619) 470-4115
Mailing address
655 EUCLID AVE, NATIONAL CITY, CA 91950-2957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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