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General NPI Number Information
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NPI Number | 1811170046
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Entity Type | Organization
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Legal Business Name | GLADYS E. PALOMENO, MD, INC.
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 28633 S. WESTERN AVE SUITE 202
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City | RANCHO PALAS VERDES
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State | CA
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Zip | 90275
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Country | US
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Telephone | 424-264-5286
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Fax | 310-791-2895
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Provider Business Mailing Address
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Address Line | PO BOX 9056
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City | SAN PEDRO
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State | CA
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Zip | 90734
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Country | US
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Telephone | 424-264-5286
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Fax | 424-264-5409
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GLADYS E. PALOMENO
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Credential | MD
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Telephone | 310-791-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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