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NPI Code Detail

MEDICARE: CARLOS PADILLA RADT-1

MEDICARE: CARLOS PADILLA RADT-1
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerA2002720CA

General Provider Information

NPI Number : 1235502683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS PADILLA RADT-1
Provider Business Mailing Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-245-3428
Fax Number : 408-800-4095
Provider Business Practice Location Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 669-245-3428
Fax Number : 408-800-4095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2015
Last Update Date : 02/17/2026

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Directions to “ CARLOS PADILLA RADT-1” Practice Location

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