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Individual

CARLOS ANIBAL PADILLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
337 W 131ST ST, LOS ANGELES, CA 90061-1103
(424) 242-9374
(866) 929-7421
Mailing address
337 W 131ST ST, LOS ANGELES, CA 90061-1103
(424) 242-9374
(866) 929-7421

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
09/22/2015
Last updated
09/22/2015
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