| Emil J Padre Md Inc | |
|
282 E Sepulveda Blvd Carson CA 90745-6323 | |
| (310) 518-6861 | |
| (310) 835-1366 |
| Full Name | Emil J Padre Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 282 E Sepulveda Blvd, Carson, California |
| Authorized Official Name and Position | Emil J Padre (OWNER) |
| Authorized Official Contact | 3105186861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emil J Padre Md Inc 282 E Sepulveda Blvd Carson CA 90745-6323 Ph: (310) 518-6861 | Emil J Padre Md Inc 282 E Sepulveda Blvd Carson CA 90745-6323 Ph: (310) 518-6861 |
| NPI Number | 1871156380 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871156380 | NPI | - | NPPES |
| 00A370110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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