MEDICARE: CHRISELYN F PALMA DO

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	207R00000X	Internal Medicine Physician	20A24647	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	20A24647	CA
3	207RP1001X	Pulmonary Disease Physician	20A24647	CA

General Provider Information

NPI Number	:	1467080572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISELYN F PALMA DO

Provider Business Mailing Address
First Line	:	1701 W CHARLESTON BLVD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19950 RINALDI ST STE 300
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-4254
Country	:	US
Telephone Number	:	818-271-2400
Fax Number	:

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

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	06/03/2026

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