Healthcare Provider Details

I. General information

NPI: 1467080572
Provider Name (Legal Business Name): CHRISELYN F PALMA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19950 RINALDI ST STE 300
PORTER RANCH CA
91326-4254
US

IV. Provider business mailing address

19950 RINALDI ST STE 300
PORTER RANCH CA
91326-4254
US

V. Phone/Fax

Practice location:
  • Phone: 818-271-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A24647
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number20A24647
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number20A24647
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: