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NPI Code Detail

MEDICARE: ALMA M PALISOC M.D.

MEDICARE: ALMA M PALISOC M.D.
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
1207R00000XInternal Medicine PhysicianLL1403NV
2207R00000XInternal Medicine Physician11958NV
32083P0901XPublic Health & General Preventive Medicine Physician2312CO
4207R00000XInternal Medicine PhysicianA101303CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111958OTHERNVPHYSICIAN LICENSE INACTIV
2A101303OTHERCAPHYSICAN AND SURGEON LICENSE

General Provider Information

NPI Number : 1144277526
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALMA M PALISOC M.D.
Provider Business Mailing Address
First Line : 1454 E 2ND ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-0118
Country : US
Telephone Number : 909-382-7146
Fax Number : 909-382-7101
Provider Business Practice Location Address
First Line : 1454 E 2ND ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-0118
Country : US
Telephone Number : 909-382-7146
Fax Number : 909-382-7101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 04/15/2013

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Directions to “ ALMA M PALISOC M.D.” Practice Location

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