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NPI Code Detail

MEDICARE: SOPHIA ESPERANZA PADILLA

MEDICARE:   SOPHIA ESPERANZA PADILLA
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
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist124719CA
3106H00000XMarriage & Family Therapist161898CA
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1306492996
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA ESPERANZA PADILLA
Provider Business Mailing Address
First Line : 1098 PAGE ST APT 301
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2258
Country : US
Telephone Number : 209-373-0251
Fax Number :
Provider Business Practice Location Address
First Line : 134 GOLDEN GATE AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-3810
Country : US
Telephone Number : 415-673-0911
Fax Number : 415-749-1032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2019
Last Update Date : 03/02/2026

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Directions to “ SOPHIA ESPERANZA PADILLA ” Practice Location

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