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General NPI Number Information
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NPI Number | 1760285019
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Entity Type | Individual
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Provider Name | EZEQUIEL PAZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 424-306-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10710 CATSKILL ST
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City | DALLAS
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State | TX
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Zip | 75217-3394
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Country | US
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Telephone | 432-438-3353
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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