MEDICARE: CHRIS S PALLIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A74481	CA

General Provider Information

NPI Number	:	1497751457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS S PALLIA MD

Provider Business Mailing Address
First Line	:	230 PROSPECT PL
Second Line	:	SUITE 230
City	:	CORONADO
State	:	CA
Zip	:	92118-1978
Country	:	US
Telephone Number	:	619-435-7282
Fax Number	:	619-435-3723

Provider Business Practice Location Address
First Line	:	230 PROSPECT PL
Second Line	:	STE 230
City	:	CORONADO
State	:	CA
Zip	:	92118-1976
Country	:	US
Telephone Number	:	619-435-7282
Fax Number	:	619-435-3723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/10/2008

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