Provider Demographics
NPI:1346780269
Name:PALMERIN, LUIS A (CHI)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:PALMERIN
Suffix:
Gender:M
Credentials:CHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21001 SHERMAN WAY STE 6-88
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1760
Mailing Address - Country:US
Mailing Address - Phone:562-469-8026
Mailing Address - Fax:909-740-6040
Practice Address - Street 1:21001 SHERMAN WAY STE 6-88
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1760
Practice Address - Country:US
Practice Address - Phone:562-469-8026
Practice Address - Fax:909-740-6040
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA003079171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA003079OtherCCHI CERTIFICATION COMMISSION FOR HEALTHCARE INTERPRETERS