Individual
CARLOS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
988 S FAIR OAKS AVE, PASADENA, CA 91105-2626
(626) 799-4191
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A185635
CA
Other
Enumeration date
03/30/2020
Last updated
11/05/2025
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