Individual
MANUEL PALOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1414 S GRAND AVE STE 456, LOS ANGELES, CA 90015-3071
(213) 745-6047
Mailing address
7626 GENTRY AVE, NORTH HOLLYWOOD, CA 91605-2853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51756
CA
Other
Enumeration date
07/27/2014
Last updated
12/01/2021
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