MEDICARE: JOSE PALACIOS

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	111N00000X	Chiropractor	36521	CA

General Provider Information

NPI Number	:	1891524575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE PALACIOS

Provider Business Mailing Address
First Line	:	230 N LOTAS ST
Second Line	:
City	:	PORTERVILLE
State	:	CA
Zip	:	93257-2917
Country	:	US
Telephone Number	:	559-756-3132
Fax Number	:

Provider Business Practice Location Address
First Line	:	13029 STOCKDALE HWY
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-9589
Country	:	US
Telephone Number	:	661-679-3776
Fax Number	:

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

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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Directions to “ JOSE PALACIOS ” Practice Location

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