Individual
EDWARD P. PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MS, RDN
Contact information
Practice address
12738 LA VISTA WAY, POWAY, CA 92064-5511
(858) 218-4994
Mailing address
10990 SAN DIEGO MISSION RD, SAN DIEGO, CA 92108-2417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146774
CA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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