Provider Demographics
NPI:1619830007
Name:PADILLA, LETICIA
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:
Last Name:PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34035 FRAZIER RD
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602-9402
Mailing Address - Country:US
Mailing Address - Phone:559-347-4037
Mailing Address - Fax:
Practice Address - Street 1:34035 FRAZIER RD
Practice Address - Street 2:
Practice Address - City:AUBERRY
Practice Address - State:CA
Practice Address - Zip Code:93602-9402
Practice Address - Country:US
Practice Address - Phone:559-347-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA732802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse