MEDICARE: AMBER-ROSE PALEGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care		CA

General Provider Information

NPI Number	:	1003610304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER-ROSE PALEGA

Provider Business Mailing Address
First Line	:	8400 GRAPE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-4132
Country	:	US
Telephone Number	:	714-683-4243
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 GRAPE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90001-4132
Country	:	US
Telephone Number	:	714-683-4243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	04/03/2025

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Directions to “ AMBER-ROSE PALEGA ” Practice Location

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