Individual
DR. HIRAM SCHUBERT PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE 403, LOS ANGELES, CA 90033-2464
(323) 224-2040
(323) 224-2061
Mailing address
PO BOX 331100, LOS ANGELES, CA 90033-0002
(323) 224-2040
(323) 224-2061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G45372
CA
207RI0011X
Interventional Cardiology Physician
G45372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G453720
—
CA
01
—
060047064
RAILROAD MEDICARE
CA
05
—
GR0100070
—
CA
01
—
ZZZ66380Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
09/21/2006
Last updated
01/07/2020
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