Individual
ANSELM-MICHAEL PADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 REYNOLDS RD, RIVERSIDE, CA 92503-3517
(951) 358-4466
Mailing address
12669 DOGWOOD WAY, MORENO VALLEY, CA 92555-2249
(951) 855-9817
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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