Healthcare Provider Details

I. General information

NPI: 1346544046
Provider Name (Legal Business Name): ROSALIA PALOMARES MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSALIA GALVAN MS, LMFT

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N KRAEMER BLVD
PLACENTIA CA
92870-5002
US

IV. Provider business mailing address

2528 E STANDISH AVE
ANAHEIM CA
92806-4318
US

V. Phone/Fax

Practice location:
  • Phone: 626-701-4249
  • Fax:
Mailing address:
  • Phone: 714-604-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number93724
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: