Healthcare Provider Details

I. General information

NPI: 1154348464
Provider Name (Legal Business Name): CLAUDIO PALMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 VALENCIA ST SUITE 703
SAN FRANCISCO CA
94110-4423
US

IV. Provider business mailing address

PO BOX 1230
SUISUN CITY CA
94585-1230
US

V. Phone/Fax

Practice location:
  • Phone: 415-642-0707
  • Fax: 415-550-1566
Mailing address:
  • Phone: 415-642-0707
  • Fax: 415-550-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA79161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: