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Organization
EMIL J PADRE MD INC
Active
Organization
EMIL J PADRE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL J PADRE MD (OWNER)
(310) 518-6861
Entity
Organization
Contact information
Practice address
282 E SEPULVEDA BLVD, CARSON, CA 90745-6323
(310) 518-6861
(310) 835-1366
Mailing address
282 E SEPULVEDA BLVD, CARSON, CA 90745-6323
(310) 518-6861
(310) 835-1366
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370110
—
CA
Enumeration date
04/19/2019
Last updated
04/19/2019
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