Individual
JOSHUA RYAN RADPARVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A177436
CA
207P00000X
Emergency Medicine Physician
T3169
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
08/02/2022
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