Provider Demographics
NPI:1164654836
Name:HEALTH PAL, CORPORATION
Entity Type:Organization
Organization Name:HEALTH PAL, CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MEJICA
Authorized Official - Last Name:DIONISIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:916-718-9557
Mailing Address - Street 1:8575 DIAMOND OAK WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1751
Mailing Address - Country:US
Mailing Address - Phone:916-718-9557
Mailing Address - Fax:916-880-5606
Practice Address - Street 1:8575 DIAMOND OAK WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1751
Practice Address - Country:US
Practice Address - Phone:916-718-9557
Practice Address - Fax:916-880-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy