Provider Demographics
NPI:1891996617
Name:PADILLA, ALEJANDRIA BRINGAS
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRIA
Middle Name:BRINGAS
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 1:697 WALTHAM ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4577
Mailing Address - Country:US
Mailing Address - Phone:650-386-6132
Mailing Address - Fax:
Practice Address - Street 1:697 WALTHAM ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4577
Practice Address - Country:US
Practice Address - Phone:650-386-6132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358535163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical