Provider Demographics
NPI:1760285019
Name:PAZ, EZEQUIEL (MD)
Entity type:Individual
Prefix:DR
First Name:EZEQUIEL
Middle Name:
Last Name:PAZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ZOLEDAD
Other - Middle Name:
Other - Last Name:PAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10710 CATSKILL ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-3394
Mailing Address - Country:US
Mailing Address - Phone:432-438-3353
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2059
Practice Address - Country:US
Practice Address - Phone:424-306-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty