Healthcare Provider Details

I. General information

NPI: 1225185465
Provider Name (Legal Business Name): HARVEY DALE PALEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15910 VENTURA BLVD STE 1510
ENCINO CA
91436-2827
US

IV. Provider business mailing address

16110 SANDY LN
ENCINO CA
91436-4222
US

V. Phone/Fax

Practice location:
  • Phone: 310-278-9171
  • Fax: 310-278-2058
Mailing address:
  • Phone: 310-278-9171
  • Fax: 310-278-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA21095
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA21095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: