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Individual

DR. FERDINAND PARDEDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
29751 ANA MARIA LN, LAGUNA NIGUEL, CA 92677-1720
(949) 423-6175
Mailing address
20 PALATINE APT 341, IRVINE, CA 92612-0645
(949) 423-6175

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
306005651
CA
310400000X
Assisted Living Facility
Primary
306005651
CA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
306005651
CA

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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