Healthcare Provider Details

I. General information

NPI: 1649855602
Provider Name (Legal Business Name): MS. CHRISTINE VERNADETTE PALATTAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 W CENTINELA AVE # 190
CULVER CITY CA
90230-6337
US

IV. Provider business mailing address

6101 W CENTINELA AVE
CULVER CITY CA
90230-6337
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-1003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number4934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: