Healthcare Provider Details

I. General information

NPI: 1427147073
Provider Name (Legal Business Name): PALU INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 S ATLANTIC BLVD SUITE 100
MONTEREY PARK CA
91754-4730
US

IV. Provider business mailing address

850 S ATLANTIC BLVD SUITE 100
MONTEREY PARK CA
91754-4730
US

V. Phone/Fax

Practice location:
  • Phone: 626-308-9227
  • Fax: 626-308-2067
Mailing address:
  • Phone: 626-308-9227
  • Fax: 626-308-2067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY44401
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SRILAKSHMI NAINALA
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 310-301-4863