Provider Demographics
NPI:1629708367
Name:PALAFOX, ANGEL ALVAREZ (BA)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:ALVAREZ
Last Name:PALAFOX
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-3527
Mailing Address - Country:US
Mailing Address - Phone:209-289-4317
Mailing Address - Fax:
Practice Address - Street 1:1901 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307-3527
Practice Address - Country:US
Practice Address - Phone:209-289-4317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other