Healthcare Provider Details

I. General information

NPI: 1487579306
Provider Name (Legal Business Name): BROPAL MEDICAL CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79301 COUNTRY CLUB DR
BERMUDA DUNES CA
92203-1245
US

IV. Provider business mailing address

2108 N ST
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 877-340-1697
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: BROOKLYNE PALMER
Title or Position: OWNER
Credential: MD
Phone: 877-340-1697