Individual
SCOTT PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-4670
Mailing address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029183
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101263136
VA
Other
Enumeration date
06/15/2016
Last updated
10/09/2025
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