Individual
MR. MARK JUPITER PAHED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18819 DELAWARE ST, HUNTINGTON BEACH, CA 92648-1907
(714) 500-0050
Mailing address
320 HUNTINGTON STREET, HUNTINGTON BEACH, CA 92648
(714) 785-2762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2510
CA
Other
Enumeration date
02/21/2007
Last updated
10/04/2021
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