Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A83508 | CA |
N | 111NI0900X | Internist | A83508 | CA |
Y | 207RR0500X | Rheumatology | A83508 | CA |
N | 2080P0216X | Pediatric Rheumatologist | A83508 | CA |
NPI | 1235103813 |
---|---|
Provider Name | Anthony S Padula |
First Address | Walnut Creek, CA 94598-3067 |
Second Address | Walnut Creek, CA 94598-3067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 28/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I34648 | (02) | CA |