Doctor Name: | DAVE PALAFOX |
NPI Number: | 1528415916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S. |
License Number: | |
Business Practice Address: | 11600 Eldridge Ave Lake View Terrace, CA - 913426506 |
Business Phone Number: | 8186863000 |
Business Fax Number: | |
Mailing Address: | 11600 Eldridge Ave, LAKE VIEW TERRACE |
State: | CA |
Postal Code: | 913426506 |
Phone Number: | 8186863000 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |