Healthcare Provider Details

I. General information

NPI: 1487569836
Provider Name (Legal Business Name): JOSE R NATO PALMA PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSE NATO PALMA PT, DPT

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26064 NAUMANN AVE
HOMELAND CA
92548-9718
US

IV. Provider business mailing address

26064 NAUMANN AVE
HOMELAND CA
92548-9718
US

V. Phone/Fax

Practice location:
  • Phone: 951-349-7959
  • Fax:
Mailing address:
  • Phone: 951-349-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT310688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: