Individual
ROSA MARIA PALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3559 GAGE AVE, BELL, CA 90201-1049
(323) 581-8485
(323) 923-2809
Mailing address
3559 GAGE AVE, BELL, CA 90201-1049
(323) 581-8485
(323) 923-2809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20133
LICENSE CA
CA
Enumeration date
05/18/2009
Last updated
12/08/2021
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