Healthcare Provider Details

I. General information

NPI: 1699981803
Provider Name (Legal Business Name): MOHAMED K. PAREED M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 S ORANGE AVE FL 100
WEST COVINA CA
91790-2662
US

IV. Provider business mailing address

741 S ORANGE AVE FL 1
WEST COVINA CA
91790-2662
US

V. Phone/Fax

Practice location:
  • Phone: 626-338-8484
  • Fax: 626-960-6037
Mailing address:
  • Phone: 626-338-8484
  • Fax: 626-960-6037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA32854
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA32854
License Number StateCA

VIII. Authorized Official

Name: MOHAMED KOCHU PAREED
Title or Position: OWNER
Credential: M.D.
Phone: 626-338-8484