MEDICARE: DR. DAVID MIGUEL PADUA M.D.

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
1	207RG0100X	Gastroenterology Physician	A118834	CA

General Provider Information

NPI Number	:	1083915763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MIGUEL PADUA M.D.

Provider Business Mailing Address
First Line	:	8536 WILSHIRE BLVD STE 202
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:	310-825-7375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	10/22/2019

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