Provider Demographics
NPI:1285385443
Name:PAREDES, DANIEL MARTINEZ (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:MARTINEZ
Last Name:PAREDES
Suffix:
Gender:M
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 COLD STREAM CT
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2767
Mailing Address - Country:US
Mailing Address - Phone:805-901-4960
Mailing Address - Fax:
Practice Address - Street 1:2131 COLD STREAM CT
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2767
Practice Address - Country:US
Practice Address - Phone:805-901-4960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist