| Theodor S. Parada, M.d., Inc | |
|
1850 Sullivan Ave Ste 310 Daly City CA 94015-2204 | |
| (650) 757-2121 | |
| (650) 757-2124 |
| Full Name | Theodor S. Parada, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1850 Sullivan Ave Ste 310, Daly City, California |
| Authorized Official Name and Position | Theodor Parada (PRESIDENT) |
| Authorized Official Contact | 9167166145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodor S. Parada, M.d., Inc Po Box 1442 Pacifica CA 94044-6442 Ph: (650) 757-2121 | Theodor S. Parada, M.d., Inc 1850 Sullivan Ave Ste 310 Daly City CA 94015-2204 Ph: (650) 757-2121 |
| NPI Number | 1912998071 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 11/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912998071 | NPI | - | NPPES |
| GR0084140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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