Individual
DAVID L. PALCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
584 CAMINO MERCADO, ARROYO GRANDE, CA 93420-1816
(805) 474-9143
(805) 474-9569
Mailing address
PO BOX 579, PISMO BEACH, CA 93448-0579
(805) 474-9143
(805) 474-9569
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G60994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G609940
BLUE SHIELD
CA
05
—
00G609941
—
CA
01
—
110116966
RAILROAD MEDICARE
CA
01
—
77-0368079
BLUE CROSS
CA
Enumeration date
11/09/2006
Last updated
11/01/2022
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