Organization
A.M. PALANCA-CAPISTRANO,M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELITA M. PALANCA-CAPISTRANO M.D. (PRESIDENT)
(951) 372-9227
Entity
Organization
Contact information
Practice address
720 MAGNOLIA AVENUE, SUITE A-4, CORONA, CA 92879
(951) 372-9227
(951) 372-9005
Mailing address
19069 VAN BUREN BLVD, STE. 114-219, RIVERSIDE, CA 92508-9169
(951) 372-9227
(951) 372-9005
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A91568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585438
—
CA
Enumeration date
05/02/2007
Last updated
02/15/2011
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