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NPI Code Detail

MEDICARE: EMMA PALLONE

MEDICARE: EMMA PALLONE
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
1106H00000XMarriage & Family Therapist113650CA

General Provider Information

NPI Number : 1083194864
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA PALLONE
Provider Business Mailing Address
First Line : 21000 PLUMMER ST
Second Line :
City : CHATSWORTH
State : CA
Zip : 91311-4903
Country : US
Telephone Number : 818-882-6400
Fax Number :
Provider Business Practice Location Address
First Line : 660 E LOS ANGELES AVE STE B2
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-1884
Country : US
Telephone Number : 805-217-0168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 11/18/2019

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Directions to “ EMMA PALLONE ” Practice Location

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