Individual
CAROLYN ODUCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1920 MEMORIAL DR, CERES, CA 95307-1827
(209) 722-4842
Mailing address
17425 BRIARDALE LN, YORBA LINDA, CA 92886-1844
(714) 342-8642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13678
LICENSE
CA
Enumeration date
05/22/2007
Last updated
04/17/2026
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