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Organization
THEODOR S. PARADA, M.D., INC
Active
Organization
THEODOR S. PARADA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODOR PARADA MD (PRESIDENT)
(916) 716-6145
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE STE 310, DALY CITY, CA 94015-2204
(650) 757-2121
(650) 757-2124
Mailing address
PO BOX 1442, PACIFICA, CA 94044-6442
(650) 757-2121
(650) 757-2124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084140
—
CA
Enumeration date
10/28/2005
Last updated
11/18/2017
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