| Organization Name: | PADULA MEDICAL CORPORATION, P.C. |
| NPI Number: | 1003208471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARLAN GARCIA (PRESIDENT) |
| Mailing Address: | 14021 Amargosa Rd Victorville |
| State: | CA US |
| Postal Code: | 923926404 |
| Phone Number: | 7609621415 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 13355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |