Physician Compare National (NPI:1619324084)

HEALTHCARE PROVIDER: JOSHUA DAVID PAREDES D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619324084
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022363316
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180615001150
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAREDES
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	600 PACIFIC COAST HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	SEAL BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907406600
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M