Individual
AMED A PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S TUSTIN ST, ORANGE, CA 92866-2550
(714) 361-4860
Mailing address
401 S TUSTIN ST, ORANGE, CA 92866-2550
(714) 361-4860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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