Padilla-Phu, Jerrick Ky Xang

Padilla-Phu, Jerrick Ky Xang is an individual health care provider with primary practice located at 1510 S Central Ave Ste 240 , Glendale CA 91204-2570. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Padilla-Phu, Jerrick Ky Xang can be contacted via phone (818) 334-5425.

Contact Information

Primary practice address
1510 S Central Ave Ste 240 Glendale CA 91204-2570
Phone: (818) 334-5425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 849559 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95012638 California

Profile Details

NPI number 1457976938
LBN Legal business name Padilla-Phu, Jerrick Ky Xang
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2020
Last updated Jun 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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