Individual
ELIZABETH PALKOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 CAMPUS DR, SUITE 205, DALY CITY, CA 94015-4900
(650) 756-2020
(650) 560-0169
Mailing address
901 CAMPUS DR, SUITE 205, DALY CITY, CA 94015-4900
(650) 756-2020
(650) 560-0169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A108654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A108654
STATE LICENSE
CA
01
—
FM509Z
MEDICARE PTAN
CA
Enumeration date
05/29/2007
Last updated
12/17/2021
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