Organization
CFL CHILDREN'S MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARCISO THAD PADUA M.D. (PRESIDENT)
(408) 947-2697
Entity
Organization
Contact information
Practice address
2039 FOREST AVE, SUITE 304, SAN JOSE, CA 95128-4817
(408) 297-5959
(408) 297-5970
Mailing address
2039 FOREST AVE, SUITE 304, SAN JOSE, CA 95128-4817
(408) 297-5959
(408) 297-5970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060090
—
CA
05
—
GR0060091
—
CA
01
—
ZZZ01893Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
05/22/2006
Last updated
08/22/2020
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