Organization
PATRICK J. PADILLA, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH PADILLA M.D. (DIRECTOR)
(949) 366-9899
Entity
Organization
Contact information
Practice address
351 SANTA FE DR, SUITE #100, ENCINITAS, CA 92024-5137
(760) 633-3130
Mailing address
55 CALLE CAREYES, SAN CLEMENTE, CA 92673-6997
(949) 366-9899
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
Enumeration date
11/21/2006
Last updated
02/01/2009
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