Healthcare Provider Details

I. General information

NPI: 1548740814
Provider Name (Legal Business Name): JOSIE PADUA AREEPRACHAPIROM RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOSIE PADUA RCP

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25825 VERMONT AVE
HARBOR CITY CA
90710-3518
US

IV. Provider business mailing address

2343 W 227TH ST
TORRANCE CA
90501-5326
US

V. Phone/Fax

Practice location:
  • Phone: 310-517-2648
  • Fax:
Mailing address:
  • Phone: 424-215-4234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number14860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: