Healthcare Provider Details

I. General information

NPI: 1235659095
Provider Name (Legal Business Name): OSCAR PADILLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST # B-121
LOMA LINDA CA
92350-1716
US

IV. Provider business mailing address

11234 ANDERSON ST # B-121
LOMA LINDA CA
92350-1716
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4258
  • Fax:
Mailing address:
  • Phone: 909-558-4258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number318946
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: