Healthcare Provider Details

I. General information

NPI: 1306240007
Provider Name (Legal Business Name): MARGARITA PALOMERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 MICHAEL CANLIS WAY
FRENCH CAMP CA
95231-9781
US

IV. Provider business mailing address

1149 N EL DORADO ST
STOCKTON CA
95202-1305
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-5027
  • Fax:
Mailing address:
  • Phone: 209-468-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: