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NPI Code Detail

MEDICARE: EDWARD E PALAFOX PT

MEDICARE: EDWARD E PALAFOX PT
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
1225100000XPhysical TherapistPT30094CA

General Provider Information

NPI Number : 1245438159
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD E PALAFOX PT
Provider Business Mailing Address
First Line : 4124 W AVENUE 41
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-3805
Country : US
Telephone Number : 626-383-6850
Fax Number :
Provider Business Practice Location Address
First Line : 4124 W AVENUE 41
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-3805
Country : US
Telephone Number : 626-383-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 04/16/2025

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Directions to “ EDWARD E PALAFOX PT” Practice Location

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