Individual
DR. PATRICK JOSEPH PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 SANTA FE DR, SUITE #100, ENCINITAS, CA 92024-5137
(760) 633-3130
(760) 633-3546
Mailing address
351 SANTA FE DR, SUITE 100, ENCINITAS, CA 92024-5137
(760) 633-3130
(760) 633-3546
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G791600
BLUE SHIELD
CA
05
—
00G791600
—
CA
01
—
1315870001
DMEPOS
CA
Enumeration date
08/15/2006
Last updated
03/29/2011
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