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Emil J Padre Md Inc
General Practice Physician in Carson, California
NPI 1871156380

Emil J Padre Md Inc is a General Practice Physician based in Carson, CA. Emil J Padre Md Inc practices in Carson, CA. The NPI Number for Emil J Padre Md Inc is 1871156380 and holds a License No. (California).

The current practice location address for Emil J Padre Md Inc is 282 E Sepulveda Blvd, Carson, CA and can be reached out via phone at 310-518-6861 and via fax at 310-835-1366.

Location: 282 E Sepulveda Blvd, Carson, CA, 90745-6323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871156380
Provider Name
Emil J Padre Md Inc
Credential
Provider Entity Type
Organization
Address
282 E Sepulveda Blvd, Carson, CA, 90745-6323
Phone Number
310-518-6861
Fax Number
310-835-1366
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00A370110 05 CA
institution
Provider Business Practice Location Address Details
Address
282 E Sepulveda Blvd
City
Carson
State
California
Zip
90745-6323
Phone Number
310-518-6861
Fax Number
310-835-1366
person
Provider Business Mailing Address Details
Address
282 E Sepulveda Blvd
City
Carson
State
California
Zip
90745-6323
Phone Number
310-518-6861
Fax Number
310-835-1366
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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