Provider Demographics
NPI:1821054545
Name:PADILLA, ERIN JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:JEAN
Last Name:PADILLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4895 CAPITOLA RD
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-3810
Mailing Address - Country:US
Mailing Address - Phone:831-440-7151
Mailing Address - Fax:831-476-7781
Practice Address - Street 1:4895 CAPITOLA RD
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-3810
Practice Address - Country:US
Practice Address - Phone:831-440-7151
Practice Address - Fax:831-476-7781
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14102255A2300X
CA33864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer