Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A126029 | CA |
Y | 2080P0204X | Pediatric Emergency Doctor | A126029 | CA |
NPI | 1215375183 |
---|---|
Provider Name | Dr. Kathryn Hildreth Pade |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 16/07/2018 |