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Jacob Adam Radparvar, MD
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1265174429

Jacob Adam Radparvar is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Jacob Adam Radparvar practices in Orange, CA and has the professional credentials of MD. The NPI Number for Jacob Adam Radparvar is 1265174429 and holds a License No. (California).

The current practice location address for Jacob Adam Radparvar is 200 S Manchester Ave Ste 650, Orange, CA and can be reached out via phone at 714-456-3077.

Location: 200 S Manchester Ave Ste 650, Orange, CA, 92868-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265174429
Provider Name
Jacob Adam Radparvar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 S Manchester Ave Ste 650, Orange, CA, 92868-3224
Phone Number
714-456-3077
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 S Manchester Ave Ste 650
City
Orange
State
California
Zip
92868-3224
Phone Number
714-456-3077
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Manchester Ave Ste 650
City
Orange
State
California
Zip
92868-3224
Phone Number
714-456-3077
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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