MEDICARE: CHRIS S. PALLIA, MD, APC

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	:	1710084934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS S. PALLIA, MD, APC

Provider Business Mailing Address
First Line	:	PO BOX 261386
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92196-1386
Country	:	US
Telephone Number	:	619-435-7282
Fax Number	:	619-435-3723

Provider Business Practice Location 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

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER STERLING PALLIA
Credential	:	MD
Telephone Number	:	619-435-7282

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/26/2012

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