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1699833491 NPI number — ADRIAN PREDA M.D.

NPI Number: 1699833491
Health Care Provider/Practitioner: ADRIAN PREDA M.D.

Information about “1699833491” NPI (ADRIAN PREDA M.D.) exists in 1699833491 in HTML format HTML  |  1699833491 in plain Text format TXT  |  1699833491 in PDF (Portable Document Format) PDF  |  1699833491 in an XML format XML  formats.

NPI Number : 1699833491 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699833491",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PREDA",
    "FirstName": "ADRIAN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2775 MESA VERDE DR E APT F204",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COSTA MESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92626-4977",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-236-3226",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "UCIMC NEUROPSYCHIATRIC CTR",
    "SecondLinePracticeLocationAddress": "101 THE CITY DRIVE SOUTH",
    "PracticeLocationAddressCityName": "ORANGE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92868",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-456-6037",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/05/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "C52180",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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