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Ferdinand Pardede
NPI 1972187581 · on the registry since 2021 · sole proprietor
Practice
- Address
- 29751 Ana Maria Ln
Laguna Niguel, CA 92677 - Phone
- (949) 423-6175
- Organisation at this address
- Eastern Sun Ltd. Liability Co.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Also registered as
- 251S00000X
3104A0630X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California