Basic Information
| Provider Information | |||||||||
| NPI: | 1689693962 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PADRON-SPENCE | ||||||||
| FirstName: | CLARA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PADRON-SPENCE | ||||||||
| OtherFirstName: | CLARA | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1503 N IMPERIAL AVE | ||||||||
| Address2: | 204 | ||||||||
| City: | EL CENTRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922436301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603392802 | ||||||||
| FaxNumber: | 7603392829 | ||||||||
| Practice Location | |||||||||
| Address1: | 1503 N IMPERIAL AVE | ||||||||
| Address2: | 204 | ||||||||
| City: | EL CENTRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922436301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603392802 | ||||||||
| FaxNumber: | 7603392829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A61202 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.