Provider Demographics
NPI:1932442696
Name:PAREDES, NOEL (COTA/L)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:PAREDES
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26762 VIA SINTRA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-2636
Mailing Address - Country:US
Mailing Address - Phone:949-273-3629
Mailing Address - Fax:
Practice Address - Street 1:26762 VIA SINTRA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2636
Practice Address - Country:US
Practice Address - Phone:949-273-3629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant