Healthcare Provider Details

I. General information

NPI: 1881511822
Provider Name (Legal Business Name): JENNY STEPHANIE PADILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2437 W WHITTIER BLVD
MONTEBELLO CA
90640-3040
US

IV. Provider business mailing address

2437 W WHITTIER BLVD
MONTEBELLO CA
90640-3040
US

V. Phone/Fax

Practice location:
  • Phone: 323-726-1525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: