Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A169667 | CA |
N | 208000000X | Pediatrician | MD462321 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | A169667 | CA |
NPI | 1043581713 |
---|---|
Provider Name | Dipti Padhya |
First Address | Torrance, CA 90504-5513 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2012 |
Last Update Date | 29/12/2021 |