Healthcare Provider Details

I. General information

NPI: 1083521702
Provider Name (Legal Business Name): ESTHER PADUGA HERNANDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 BENTON ST
LOMA LINDA CA
92357-1000
US

IV. Provider business mailing address

2169 STEWART ST
COLTON CA
92324-7519
US

V. Phone/Fax

Practice location:
  • Phone: 909-583-6066
  • Fax:
Mailing address:
  • Phone: 909-583-6066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number477019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: