Healthcare Provider Details

I. General information

NPI: 1801024682
Provider Name (Legal Business Name): PARAMOUNT PHYSICIANS HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16444 PARAMOUNT BLVD 101
PARAMOUNT CA
90723-5422
US

IV. Provider business mailing address

16444 PARAMOUNT BLVD 101
PARAMOUNT CA
90723-5422
US

V. Phone/Fax

Practice location:
  • Phone: 562-630-1220
  • Fax: 562-630-0701
Mailing address:
  • Phone: 562-630-1220
  • Fax: 562-630-0701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD FRID
Title or Position: OFFICE MANAGET
Credential:
Phone: 562-630-1220