Individual
ALMA M PALISOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146
(909) 382-7101
Mailing address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146
(909) 382-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11958
NV
207R00000X
Internal Medicine Physician
Primary
A101303
CA
207R00000X
Internal Medicine Physician
LL1403
NV
2083P0901X
Public Health & General Preventive Medicine Physician
2312
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11958
PHYSICIAN LICENSE INACTIV
NV
01
—
A101303
PHYSICAN AND SURGEON LICENSE
CA
Enumeration date
05/30/2006
Last updated
04/15/2013
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