Individual
IAN CHRISTOPHER SO PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 WASHINGTON HEIGHTS RD UNIT 23, EL CAJON, CA 92019-3088
(619) 362-5391
Mailing address
725 WASHINGTON HEIGHTS RD UNIT 23, EL CAJON, CA 92019-3088
(619) 362-5391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8326201-01
SIGNATUREVALUE ALLIANCE HMO
CA
Enumeration date
01/27/2015
Last updated
03/04/2025
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