Doctor Name: | MRS. ANGELA PALACIOS |
NPI Number: | 1104041086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | D6180 |
Business Practice Address: | 9061 Woodman Ave Arleta, CA - 913316404 |
Business Phone Number: | 8188947343 |
Business Fax Number: | |
Mailing Address: | 9061 Woodman Ave, ARLETA |
State: | CA |
Postal Code: | 913316404 |
Phone Number: | 8188947343 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | D6180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |