Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Riad Mardoum, MD

Individual provider Pediatrics Physician · NPI 1417050584

Dr. Riad Mardoum, MD is a Pediatrics Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4077 5th Ave
San Diego, CA 92103-2105
Phone: (619) 260-7046
Fax: (619) 686-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A36720 (CA)

Record details

NPI number1417050584
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 21, 2022

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