Individual
MRS. SAMARA PALACIO CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 W LA PALMA AVE STE 15, ANAHEIM, CA 92801-2805
(714) 535-6419
(714) 535-7222
Mailing address
1120 W LA PALMA AVE STE 15, ANAHEIM, CA 92801-2805
(714) 535-6419
(714) 535-7222
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A30768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A307680
—
CA
Enumeration date
04/15/2009
Last updated
04/15/2009
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