| Doctor Name: | DORA PALACIO |
| NPI Number: | 1063739910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 375813 |
| Business Practice Address: | 17707 Studebaker Rd Rio Hondo Mental Health Center Cerritos, CA - 907032640 |
| Business Phone Number: | 5624020688 |
| Business Fax Number: | 5624023032 |
| Mailing Address: | 17707 Studebaker Road, Rio Hondo Mental Health Center CERRITOS |
| State: | CA |
| Postal Code: | 90703 |
| Phone Number: | 5624020688 |
| Fax Number: | 5624023032 |
| NPI Enumeration Date: | 04/30/2010 |
| NPI Last Update Date: | 01/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 375813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |