# PATRICK J. PADILLA, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316012149
- **Authorized official:** DR. PATRICK JOSEPH PADILLA M.D. (DIRECTOR)
- **Authorized official phone:** (949) 366-9899

## Contact information

- **Practice address:** 351 SANTA FE DR, SUITE \#100, ENCINITAS, CA 92024-5137
- **Practice address phone:** (760) 633-3130
- **Mailing address:** 55 CALLE CAREYES, SAN CLEMENTE, CA 92673-6997
- **Mailing address phone:** (949) 366-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G79160 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 02/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G791600 | BLUE SHIELD | CA |
| 05 | — | 00G791600 | — | CA |